Welcome to Classifications and Online Calculators in Radiology

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that are used in radiology and related fields with free access.

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    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
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