300,000 scaphoid fractures occur in the United States each year. Cast immobilization requires 8 to 26 weeks to achieve union after accurate fracture reduction. Approximately 10% of these fractures progress to nonunion.To reduce the prolonged and costly period of cast immobilization, nondisplaced or minimally displaced acute scaphoid fractures can be fixed internally with a new cannulated titanium screw, using arthroscopic assistance. Postoperative immobilization ranges from only 1 to 4 weeks.This procedure can significantly reduce the required period of immobilization and the associated cost impact of this injury.