Percutaneous fixation of stable scaphoid fractures

The increased awareness of scaphoid fractures and their complications has prompted early aggressive treatment to prevent the sequelae of nonunions and degenerative changes in the carpus. Despite this, many fractures require prolonged immobilization, often resulting in diminished motion and time lost in sports or employment. In an effort to diminish the time to union and decrease prolonged immobilization, percutaneous fixation techniques have been described and recently popularized by several authors. The indications and contraindications, technique, complications, and rehabilitation of treatment of both dorsally and volarly placed percutaneous screw fixation of stable scaphoid fractures will be the focus of this paper.