In the series, there were five Colles and four Smith's fractures of the dist … Nine patients with these fractures are presented. In fact, we have found only one case reported in the English language medical literature; the patient had been treated using plaster immobilization [].In this paper, we report the case of a young man who sustained high-energy, unstable, displaced distal radius fractures along with displaced scaphoid fractures. Date. Four of the radial fractures were treated by closed reduction and cast immobilization. had combined distal radius and scaphoid fractures in the ipsilateral limb, including five men and three women. In the remaining three, an external fixator was used to maintain the reduction. This rarity is probably due to the fact that both fractures share the same injury mechanism. Scaphoid fractures are treated frequently in everyday practice. Percutanous fixation of all scaphoid fractures was done first, using cannulated Herbert screw and fracture distal end radius was Nine patients with these fractures are presented. Consider this diagnosis even in the absence of a fracture on XRs, as a proportion are not visible on initial imaging. 19.1a, b Diagram showing the traumatology of fractures of the scaphoid. Combined fractures of the distal radius and scaphoid. Scaphoid fractures have an estimated incidence of 1.47 fractures per 100,000 person-years and account for 2.4% of wrist fractures in the United States. These common fractures usually occur when significant force is applied to the distal radial metaphysis. Five patients were available for long-term followup.In the series, there were five Colles and four Smith's fractures of the dista Preoperative studies, operative reports, and imaging studies were all reviewed (Table 1). Although isolated distal radius and scaphoid fractures are common, the combination of both fractures is rare, with a reported frequency between 0.5% and 6%. Fractures of the radius and ulna are the most common fractures of the upper extremity, with distal fractures occurring more often than proximal fractures. Hand Clin. Scaphoid Fractures • The scaphoid is the most frequently fractured carpal bone, accounting for 71% of all carpal bone fractures. Faculty: Bruno Lussiez, Elisabet Hagert, Christophe Rizzo, Laurent Obert. treatment in patients with ipsilateral fractures of the distal radius and scaphoid. Four scaphoid fractures were immobilized in a cast, two were internally fixed, and one was left untreated. Simultaneous fractures of the distal radius and scaphoid are uncommon injuries for which the treatment is controversial. The first step involves reduction and percutaneous K-wire fixation of the scaphoid. The average age of these patients was 55.4 years (range, 38–90 yr) at the time of injury. Abstract Introduction The purpose of this retrospective study, is to evaluate the clinical and functional results of early surgical fixation of the ipsilateral distal radius and scaphoid fractures in 22 of 21 patients. Between 2010 to 2014, seven patients were treated operatively for ipsilateral injuries involving distal end radius and scaphoid. [Article in French] Zrig M(1), Hamdi MF, Aloui I, Mnif H, Koubaa M, Abid A. J Hand Surg [Am]. Immobilization of a distal radius fracture until a scaphoid fracture has healed results in wrist arthrofibrosis and prolonged rehabilitation.7 Once the decision has been made to surgically treat these injuries, the question arises as to the order of treatment of these combined fractures. These are the most frequently seen fractures that affect the human body. We present a retrospective study of ten patients, out of whom nine underwent internal fixation of their fractures. IMPORTANT NOTICE: due to the COVID-19 situation we regret to inform you that this session has been suspended and will be postponed. Bilateral fractures of the distal radius and scaphoid are extremely rare injuries. 4 Not only is the overall incidence of this fracture notable, it is also a diagnosis that is missed at initial presentation up to 40% of the time. The distal radius fracture is often intra-articular, while the scaphoid fracture occurs at the waist in most cases. Hand Clin, 21(3):427-441, 01 Aug 2005 Cited by: 16 articles | PMID: 16039454 In fact, we have found only one case reported in the English language medical literature; the patient had been treated using plaster immobilization [].In this paper, we report the case of a young man who sustained high-energy, unstable, displaced distal radius fractures along with displaced scaphoid fractures. The second step is the reduction and rigid fixation of the distal radius. Fractures of the bilateral distal radius and scaphoid: a case report. The second concerned a 10-year-old boy who presented a bilateral wrist injury. Scaphoid fracture. This group of fractures of the distal end of the radius includes those injuries made more complex by either the fracture pattern itself or by associated ipsilateral skeletal or soft tissue trauma, or those resulting from high-energy impact such as a fall from a height, automobile accident, crush trauma, or gunshot wound. Richards et al. Patients and Methods Overall, 22 combined ipsilateral scaphoid, and distal radius fracture treatments between 2002 and 2015 were evaluated. Combined fractures of the distal radius and scaphoid are uncommon, are usually the result of a high-energy trauma and there is no consensus regarding their optimal management. Distal radial fractures are a heterogeneous group of fractures that occur at the distal radius and are the dominant fracture type at the wrist. This injury may be accompanied by fractures of the ulnar styloid, the distal ulna, and the scaphoid. If you suspect a scaphoid fracture, then immobilise the patient (backslab or splint as for a distal radius fracture) and arrange fracture clinic review. These common fractures usually occur when significant force is applied to the distal radial metaphysis. Read Broken Wrist (Distal Radius Fracture) However, there are several other possible types of wrist fractures that can occur. Combined fractures of the scaphoid and distal radius: a revised treatment rationale using percutaneous and arthroscopic techniques. Dorsal perilunate dislocations associated with scaphoid fractures are relatively uncommon and Brunner and Spencer 1 have stated that they account for no more than approximately 10% of all carpal bone injuries. The revised treatment protocol for the treatment of combined scaphoid and distal radius fractures involves a three-step process. 1997 Sep;22(5):772-6. The third step is the rigid fixation of the scaphoid. Isolated scaphoid fractures can … Combined fractures of the scaphoid and distal radius: a revised treatment rationale using percutaneous and arthroscopic techniques. Abstract. Fig. The scaphoid is the most common of the carpal bones to fracture ; upper limb fractures are associated in 5-10% of cases, and around 2% of the concomitant fractures are of the distal radius. Untreated nonunion often leads to … Journal of Medical Case Reports, 2008. They usually affect young males. [Combined fracture of the distal radius and scaphoid in children. • Scaphoid fractures been reported in individuals ranging from 10 to 70 years old, although it is most common in youngmen. Simultaneous fractures of the distal radius and scaphoid are uncommon injuries for which the treatment is controversial. Distal radial fractures are a heterogeneous group of fractures that occur at the distal radius and are the dominant fracture type at the wrist. Nonunion rates of up to 50% are reported for displaced scaphoid fractures. Rutgers et al. Author information: (1)Service de chirurgie orthopédique et traumatologique, hôpital Fattouma-Bourguiba, Monastir, Tunisia. Slade JF, Taksali S, Safanda J. Fractures of the distal radius are the most common fracture in adults and are typically caused by a fall on the outstretched hand. Five patients were available for long-term followup. Fractures of the big bone of the wrist are known as Distal Radius Fractures. The first case was in a 13-year-old boy who presented a transverse midscaphoid fracture associated with a Salter type II distal radial fracture. zrigmak@yahoo.fr On the other hand Mayfield et al 2 have suggested that most carpal dislocations around the lunate are the … Rationale for Surgical Technique. Combined Fractures of the Scaphoid and Distal Radius: A Revised Treatment Rationale Using Percutaneous and Arthroscopic Techniques Joseph F. Slade III, MDa,*, Sudeep Taksali, MDb, John Safanda, MDb aHand and Upper Extremity Service, Department of Orthopaedics and Rehabilitation, Yale University School of Medicine, 73 Faulkner Drive, Guilford, CT 06437, USA Scaphoid fracture associated with distal radial fracture seems to have been more frequently reported in the literature during the last decade, probably because it is more frequently recognised. Oguz Poyanli This injury may be accompanied by fractures of the ulnar styloid, the distal ulna, and the scaphoid. Fractures of the distal radius are the most common fracture in adults and are typically caused by a fall on the outstretched hand. In contrast, most of the scaphoid fractures were stable. This article will discuss the second most common type of wrist fracture, a scaphoid fracture, as well as others. These fra… Report of two cases]. 2005; 21(3):427-41 … 2008 Aug;33(4):478-83. In fact, children with distal forearm injury should be well examined both clinically and radiologically in order to search for an associated scaphoid fracture. Published studies are limited, but most patients are males in their 40s and the injuries are typically due to high-energy trauma. Some authors have suggested that cast or splint immobilization is adequate for scaphoid fractures [3,5], while others have suggested that fixation of the scaphoid before reduction of the distal radius is needed to prevent distraction of the scaphoid, which may induce nonunion [4,6]. Scaphoid fractures are less common than distal radius fractures, but account for 2%–7% of all fractures and are the most frequently injured carpal bone. The authors report 2 cases of concomitant scaphoid and distal radial fractures, a rare combination of lesions in children. SCAPHOID AND DISTAL RADIUS FRACTURE. A distal radius fracuture occurs when the there is a break in the wrist end of the radius bone. The scaphoid is the most common of the carpal bones to fracture; upper limb fractures are associated in 5-10% of cases, and around 2% of the concomitant fractures are of the distal radius. a In a hyperextension injury of the hand, the proximal part of the scaphoid remains in a fixed position between the radius and the radioscaphocapitate ligament, while a dorsally-directed force vector is exerted on the distal part of the scaphoid. 24 … J Hand Surg Eur Vol. ar, was the principle fracture in this complex injury. One case of bilateral carpal scaphoid fractures associated with bilateral distal radius fractures is presented. Combined fractures require the simultaneous repair of all injuries. Bilateral fractures of the distal radius and scaphoid are extremely rare injuries. Arthroscopic diagnosis of intra-articular soft tissue injuries associated with distal radius fractures.