All scaphoid fractures should be managed by a specialist
Absolutely non-displaced scaphoid fractures may be treated in a cast, usually for 8-12 weeks as the scaphoid is slow to heal due to its poor blood supply. This may be cumbersome for a patient and literature now advocates compression screw fixation in even non-displaced scaphoid fractures, as they heal quicker and the patient or sportsman/woman may get back to their work/activities much quicker.
All displaced fractures (more than 1mm) should be treated surgically with either percutaneous screw fixation or an open reduction and internal fixation.
Chronic scaphoid fractures are usually managed with a reduction, additional bone graft and screw fixation to reorient and heal the fracture.
Other carpal bone fractures
Any of the remaining 7 carpal bones may be fractured and each is treated on its merit, based on the presence of an open injury, the degree of displacement of the fracture and its involvement of the surrounding joints. A notable injury that sometimes occurs in golfers or racquet sports is a fracture of the hook of the hamate bone, which presents as deep pain in the palm of the hand, following striking a ball, turf, tree, the golf bag or other objects, never in frustration!