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


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