Mayo classification of scaphoid fractures

Last revised by Daniel J Bell on 29 Aug 2024

The Mayo classification of scaphoid fractures, also known as Cooney classification, divides scaphoid fractures into three types according to the anatomic location of the fracture line:

  • middle (70%)

  • distal (20%)

  • proximal (10%)

Fractures of the distal third are further divided into distal articular surface and distal tubercle fractures:

  • distal tubercle third fracture

  • distal articular surface fracture

  • distal third fracture

  • middle third fracture

  • proximal third fracture

The location of the fracture has important implications on the risk of osteonecrosis and, therefore, management.

History and etymology

The Mayo classification was developed by American orthopedic surgeon William P Cooney 1,4.

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