Internal fixation provides no long-term benefit over scaphoid fracture casting .
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Nonoperative Compared with Operative Treatment of Acute Scaphoid Fractures - A Randomized Clinical Trial
J Bone Joint Surg Am. 2008 Jun;90(6):1176-8583 patients with acute non-displaced or minimally displaced scaphoid fractures were randomly allocated to receive either non-operative treatment with a cast or internal fixation using a Herbert screw. There was no evident long-term benefit of internal fixation as compared to conventional non-operative treatment for the acute non-displaced or minimally displaced scaphoid fractures. There were, however, potentially higher risks of wrist arthritis, cyst formation, and screw malpositioning with operative treatment in the long term.
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