Scaphoid non union

The scaphoid is a carpal bones that does not  consolidate easily.

When a scaphoid fracture does not fuse  after several months is called a nonunion.

Nonunion of the scaphoid always progresses to a secondary carpal instability and in long-term osteoarthritis.


Treatment of nonunion of the scaphoid is always surgical.

Several surgical techniques are possible to consolidate the scaphoid:

  • simply screwing
  • Non-vascularized bone graft
  • Vascularized bone graft