Traumatic Bilateral Scaphoid Fracture-A Case Report

Tanvi Umashree,Pavan Sarin,Sumit Kumar Jain

doi:10.4172/2471-8416.100051

Tanvi Umashree, Pavan Sarin + Show 1 more

Open Access

https://doi.org/10.4172/2471-8416.100051

Copy DOI

Abstract

Introduction: The largest carpal bone, the scaphoid, is the most commonly injured bone in the wrist joint. While unilateral scaphoid fractures are quite common, bilateral ones are rarely encountered. Existing literature on traumatic bilateral scaphoid fractures is very limited. Case report: We came across a young biker, who sustained bilateral, undisplaced, scaphoid waist fractures following a road traffic accident. He was treated conservatively with bilateral thumb spica casts, and recovered fully in about 12 weeks after the injury. Conclusion: Comprehensive imaging should be done in case of suspected scaphoid fractures, as failure to do so may lead to missed fracture. Although internal fixation reduces healing time, conservative management with thumb spica casts can also successfully treat undisplaced bilateral scaphoid fractures, and the patient can attain full range of motion within a comparable time frame. Surgical management should be favored more in case of displaced/ unstable fractures.

Highlights

The largest carpal bone, the scaphoid, is the most commonly injured bone in the wrist joint
The waist of the scaphoid tends to be the focus of this stress, which leads to fractures at this site in approximately 80% of cases of Scaphoid fracture [5,6]
X-ray examination of scaphoid fractures is very comprehensive, comprising of at least 4 views– PA, lateral, semipronated oblique, and scaphoid

Summary

Introduction

The scaphoid is the largest bone of the proximal carpal row. It serves as a bridge between the proximal and the distal carpal bones and transfers compression loads from the hand to the forearm and has a major role in maintaining carpal stability [1]. The primary mechanism of scaphoid fracture is hyperextension of the wrist beyond 95o, which commonly occurs by a fall onto an outstretched hand [2,3]. The scaphoid is the most commonly injured carpal bone in young male patients [2]. We came across a young biker who fractured both his scaphoid bones during an accident.

Findings

Discussion

Conclusion