title: Combined fractures of the distal radius and scaphoid.
abstract: 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. We present a retrospective study of ten patients, out of whom nine underwent internal fixation of their fractures. Open reduction and internal fixation were performed in six of the eight intraarticular fractures of the distal radius. After a mean follow-up of 40 months, eight patients reported no pain and the mean range of wrist motion was 55 degrees flexion and 71 degrees extension. Our current management protocol is outlined. Emphasis on treatment of this combined fracture should be placed on the management of the distal radius fracture. Internal fixation of both fractures, followed by early rehabilitation, optimises outcomes. Cast treatment is indicated only in patients with completely undisplaced fractures of both the radius and the scaphoid.
authors.affiliation: Massachusetts General Hospital, Orthopaedic Hand and Upper Extremity Service, Boston, MA 02114, USA.
authors.forename: M
authors.initials: M
authors.lastname: Rutgers
authors.forename: C S
authors.initials: CS
authors.lastname: Mudgal
authors.forename: R
authors.initials: R
authors.lastname: Shin
mesh_terms: D000328:Adult; D000465:Algorithms; D015331:Cohort Studies; D005260:Female; D005593:Fracture Fixation, Internal; D006801:Humans; D008297:Male; D011885:Radius Fractures / Q000150:complications* / Q000175:diagnosis / Q000601:surgery*; D016059:Range of Motion, Articular; D020127:Recovery of Function; D012189:Retrospective Studies; D021361:Scaphoid Bone / Q000293:injuries*; D016896:Treatment Outcome; D055815:Young Adult