Tehran University of Medical Sciences Journal of Orthopedic and Spine Trauma 2538-2330 5 1 2020 07 20 2 6 EN Mohammad Ali Okhovatpour Taleghani Hospital Research Development committee, Medical school, Shahid Beheshti University of Medical Sciences, Tehran, Iran Adel Ebrahimpour Taleghani Hospital Research Development committee, Medical School, Shahid Beheshti University of Medical Sciences, Tehran, Iran Mohammadreza Minator Sajjadi Department of Orthopedics, Taleghani Hospital Research Development Committee, Medical School, Shahid Beheshti University of Medical Sciences, Tehran, Iran Mehrdad Sadighi Assistant Professor, Department of Orthopedics, Shohadaye Tajrish Hospital, School of Medicine, Shahid Beheshti University of Medical Sciences, Tehran, Iran Reza Zandi Department of Orthopedics, Taleghani Hospital Research Development Committee, School of Medicine, Shahid Beheshti University of Medical Sciences, Tehran, Iran Meysam Jafari Kafi Abadi Orthopedics Department, Shohada Tajrish Hospital, Medical school, Shahid Beheshti University of Medical Sciences, Tehran, Iran Yaser Safaei Taleghani Hospital Research Development Committee, School of Medicine, Shahid Beheshti University of Medical Sciences, Tehran, Iran 2019 12 31 2020 04 02 Scaphoid fracture can cause serious complications and its diagnosis and treatment approaches are still contentious. Tenderness of anatomical snuffbox (ASB), longitudinal compression (LC) of the thumb, and scaphoid tubercle (ST) tenderness are very sensitive tests for clinical diagnosis of scaphoid factures all together. Previous studies recommend taking four standard views of the wrist for non-displaced scaphoid fractures diagnosis. Magnetic resonance imaging (MRI), computed tomography scan (CT scan), bone scintigraphy, and ultrasound are used for triage of suspected scaphoid fractures. MRI has the highest sensitivity and specificity. CT scan images captured in planes by the long axis of the scaphoid guide the diagnosis of nondisplaced scaphoid fracture. Displaced fractures need surgical treatment, but the best way of treating a nondisplaced fracture is controversial. Same results have been determined using a short arm or long arm cast for treatment of nondisplaced scaphoid fractures as well as similar outcomes with or without a thumb-spica component to the cast. Wrist position immobilization did not affect the rate of nonunion, wrist flexion, pain, or grip strength. Percutaneous screw fixation can shorten return to work time. CT scan and MRI both can be applied for assessment of union of fracture during follow-up period. This study aims to review the literature on challenges about clinical and radiologic diagnosis of nondisplaced scaphoid fractures and also present concepts about definite management of nondisplaced and minimally-displaced scaphoid waist fractures. https://jost.tums.ac.ir/index.php/jost/article/view/154 https://jost.tums.ac.ir/index.php/jost/article/download/154/140