THE CORRECT treatment of fractures of the carpal scaphoid bone which are diagnosed early is adequate prolonged fixation. This treatment has long been recognized, but in spite of this realization a large percentage of fractures go undiagnosed and therefore untreated. This delay in diagnosis is conducive to nonunion and arthritic changes, which increase the difficulty of treatment and make results ungratifying. Mildness of symptomatology often causes procrastination of the patient in seeking medical advice. The relative infrequency of fractures of the carpal scaphoid bone in civil life makes it difficult to collect and evaluate sufficient cases to arrive at the type of treatment needed for these fractures, particularly cases in which there has been considerable delay in seeking attention.
In the armed forces, with careful medical supervision of a large group of young adults, an increasing number of fractures of the carpal scaphoid bone have been diagnosed. The series of
BANNERMAN MM. FRACTURES OF THE CARPAL SCAPHOID BONEAn Analysis of Sixty-Six Cases. Arch Surg. 1946;53(2):164-168. doi:10.1001/archsurg.1946.01230060167002