Herbert classification of scaphoid fractures
Citation, DOI & article data
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.
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
- D1: fibrous non-union
- D2: sclerotic non-union (pseudoarthrosis)
- 1. Herbert T & Fisher W. Management of the Fractured Scaphoid Using a New Bone Screw. The Journal of Bone and Joint Surgery British Volume. 1984;66-B(1):114-23. doi:10.1302/0301-620x.66b1.6693468
- 2. Charles M. Court-Brown, James D. Heckman, Margaret M. McQueen et al. Rockwood and Green's Fractures in Adults. (2015) ISBN: 9781451175318 - Google Books