Herbert classification of scaphoid fractures

Last revised by Leonardo Lustosa on 30 Apr 2022

The Herbert classification of scaphoid fractures, also known as the Herbert and Fisher classification, is one of the most frequently used classification systems when assessing scaphoid fractures.

The Herbert classification is proposed to provide a guide to the management of these fractures.

Classification

The system considers both acute and subacute/chronic fractures.

  • type A: acute stable fracture
    • A1: fracture of the tubercle
    • A2: undisplaced waist fracture
  • type B: acute unstable fracture
    • B1: oblique fracture of the distal third
    • B2: displaced or unstable fracture of the waist
    • B3: proximal pole fracture
    • B4: fracture-dislocation of the carpus
    • B5: comminuted fracture
  • type C: delayed union
  • type D: non-union

See also

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