CPT® Code 25628

Open treatment of a carpal scaphoid fracture, also known as a navicular fracture, involves a surgical procedure aimed at realigning and stabilizing the scaphoid bone, which is one of the eight small carpal bones in the wrist. The scaphoid bone is located at the base of the thumb and is the most frequently fractured bone in the wrist, often due to trauma such as falling onto an outstretched hand. The procedure begins with an incision made in the palm of the hand, utilizing a volar approach to access the fracture site. Once the fracture is located, it is carefully cleaned of any debris, and the bone fragments are repositioned to restore proper alignment. Internal fixation is then applied to maintain the alignment of the fracture during the healing process. This typically involves the use of screws, which are inserted to secure the fracture fragments together. The surgical technique ensures that the scaphoid bone is stabilized, promoting optimal healing and function of the wrist post-surgery.