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Part IV: Minimally Invasive Procedures of the Carpus

This technique is appropriate for any acute scaphoid fracture in

the waist or proximal pole. Many angular or translational

displacements can be corrected and rigidly fixed percuta-

neously. Fractures of the distal pole may be more

appropriately treated conservatively or with volar fixation to

maximize screw purchase in the distal fragment. We rec-

ommend starting with nondisplaced fractures to establish the

skill set needed for more difficult displaced fractures.