They represent the most frequent fracture of the carpal bones (about 85%), are often unrecognized at the first visit so the correct treatment is frequently delayed as well as the bone healing.
In addition to traditional clinical and radiographic examination really useful are CT and MRI done at early stages, the latter in particular to study the vascularization of the fractured bony portion, closest to the wrist. The type of bone fracture, the age and job of the patient are the main factors determining the final best therapeutic choice.
If indicated, bone fixation by screw reduces the healing time with faster functional recovery, compared to the cast immobilization which is about 8-12 weeks.
More recently for not dislocated fractures, a percutaneous fixation with a screw is possible. More info about the wrist scaphoid fractures