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Ipsilateral distal radius and scaphoid fractures
Journal of the Formosan Medical Association = Taiwan Yi Zhi
|September 23, 2000
Summary
Simultaneous distal radius and scaphoid fractures are rare. This study found all eight patients achieved fracture union with varied treatments, emphasizing scaphoid fixation when radius distraction is used.
Area of Science:
- Orthopedic Surgery
- Traumatology
- Hand and Wrist Surgery
Background:
- Simultaneous distal radius and scaphoid fractures are uncommon injuries.
- Existing literature presents diverse treatment strategies for this combined injury pattern.
Purpose of the Study:
- To report treatment outcomes for patients with simultaneous distal radius and scaphoid fractures.
- To evaluate functional results and complications associated with various management approaches.
Main Methods:
- Retrospective review of eight patients treated between 1987 and 1998.
- Detailed description of treatments for distal radius fractures (pin-in-cast, casting, external fixation, open reduction internal fixation) and scaphoid fractures (long-arm thumb spica, Herbert screw, percutaneous pinning).
Main Results:
- All distal radius and scaphoid fractures achieved union.
- No cases of scaphoid avascular necrosis were observed.
- Good functional outcomes were reported in five patients, fair in three; one superficial radial nerve injury occurred.
Conclusions:
- Scaphoid fixation is recommended if distraction forces are applied during distal radius fracture treatment to prevent displacement.
- Thumb spica casting may suffice for scaphoid fixation when no distraction is applied to the radius fracture.