Scaphoid fracture - Herbert classification
Herbert classification of scaphoid fractures is primarily based on the distinction between stable fractures, which can be treated non-operatively, and unstable fractures in the acute setting.
| Type | Description |
|---|---|
| A: acute, stable | A1: fracture of the tubercle A2: nondisplaced incomplete fracture in the waist |
| B: acute, unstable | B1: oblique fracture in the distal third B2: displaced or mobile fracture in the waist B3: fracture of the proximal pole B4: fracture with dislocation B5: comminuted fracture |
| C: delayed union | >6 weeks |
| D: established non-union | D1: fibrous D2: sclerotic |
References:
1. Herbert TJ, Fisher WE. Management of the fractured scaphoid using a new bone screw. J Bone Joint Surg Br. 1984 Jan;66(1):114–23.
2. Steinmann SP, Adams JE. Scaphoid fractures and nonunions: diagnosis and treatment. J Orthop Sci. 2006 Jul;11(4):424–31.
Updated 3/11/2013 22:32 by Lambert