Combined scaphoid and distal radius fractures in adults

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%. This rarity is probably due to the fact that both fractures share the same injury mechanism. Published studies are limited, but most patients a...

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Bibliographic Details
Published in:Hand surgery and rehabilitation 2016-12, Vol.35S, p.S55-S59
Main Authors: Dumontier, C, Carmès, S, Kadji, O
Format: Article
Language:fre
Subjects:
Adult
Age Factors
Fracture Fixation, Internal
Fractures, Multiple - etiology
Fractures, Multiple - surgery
Humans
Male
Prognosis
Radius Fractures - etiology
Radius Fractures - surgery
Scaphoid Bone - injuries
Ulna Fractures - etiology
Wrist Injuries - etiology
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Summary: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%. This rarity is probably due to the fact that both fractures share the same injury mechanism. Published studies are limited, but most patients are males in their 40s and the injuries are typically due to high-energy trauma. In most studies, the distal radius fracture is displaced while the scaphoid fracture is not. Since the functional outcome depends of the severity of the radius fracture, we believe, as do others, that it is logical to fix both fractures with stable devices (i.e., screw fixation for the scaphoid, locking plate for the radius) to allow for early rehabilitation.
ISSN:2468-1210
DOI:10.1016/j.hansur.2016.05.008