Hi Fellow riders, haven't been on the bike for a long time now with this scaphoid fracture, at first I was pretty optimistic with all this,but now realize the time it's gonna take.(could be a year!) Any how with the what I have read here I thought maybe you could advise on my situation Dr mark, I would highly appreciate it. Here's the story, Casted on the 23 feb, no sign of fracture initially, 10 days later a definite crack halfway though the waist and another fracture in the distal pole. Fast forward to 8 weeks in the cast total, x ray reveals no sign of fracture ( at least to me and the radiographer). They let me go, started to move hand around, slight pain with about 10 deg flexion and extension. 2 days later report comes in, "there is incomplete bony healing of the transverse scaphoid waist fracture. Avascular necrosis is noted on the proximal pole with increasing sclerosis when compared to the previous films. There is also disuse osteopenia in the carpus. An orthopedic opinion maybe helpful". After some Internet research, I have become real worried, even though my GP seemed unfazed with the report. My GP rang an orthopedic surgeon(don't know if he is general or hand precialist yet) and he advised 2 more weeks in a cast and re-evaluate via regular x-ray. X ray is next Wednesday, am hoping for improvement to say the least. My questions are- By casting a further 2 weeks , is the surgeon expecting that further healing of the fracture will eventually help re-vascularise the proximal pole? If surgery is indicated (I thought AVN would force surgery straight up) am I better off going to a hand wrist specialist or the regional orthopedic doctor? Should they be performing an MRI with intravenous contrast to check for proximal pole viability? Sorry for the long post, just thought some detail would wrap it up in one post.