Abstract
IntroductionBilateral fractures of the distal radius and scaphoid are extremely rare injuries.Case presentationA patient with bilateral comminuted, displaced distal fractures of the radius and bilateral fractures of the scaphoid was treated via internal fixation of the scaphoid fractures with Herbert screws and internal fixation of the distal radius fractures with locked volar plating.ConclusionRigid internal fixation of distal radius and scaphoid fractures is mandatory to start early active rehabilitation of the wrist without the need for wrist immobilization with a plaster or external skeletal fixation.
Highlights
IntroductionCase presentation: A patient with bilateral comminuted, displaced distal fractures of the radius and bilateral fractures of the scaphoid was treated via internal fixation of the scaphoid fractures with Herbert screws and internal fixation of the distal radius fractures with locked volar plating
Bilateral fractures of the distal radius and scaphoid are extremely rare injuries.Case presentation: A patient with bilateral comminuted, displaced distal fractures of the radius and bilateral fractures of the scaphoid was treated via internal fixation of the scaphoid fractures with Herbert screws and internal fixation of the distal radius fractures with locked volar plating
We have found only one case reported in the English language medical literature; the patient had been treated using plaster immobilization [1]
Summary
Case presentation: A patient with bilateral comminuted, displaced distal fractures of the radius and bilateral fractures of the scaphoid was treated via internal fixation of the scaphoid fractures with Herbert screws and internal fixation of the distal radius fractures with locked volar plating. We have found only one case reported in the English language medical literature; the patient had been treated using plaster immobilization [1]. We report the case of a young man who sustained high-energy, unstable, displaced distal radius fractures along with displaced scaphoid fractures. The latter were treated with Herbert screw fixation and the former with locked volar plates. The purpose of this paper is to report the operative technique used to ensure that early wrist rehabilitation program could be started in this unusual case.
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