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Simultaneous Fractures of the Ipsilateral Scaphoid and Distal Radius
Timothy P Fowler1, Elizabeth Fitzpatrick1
1Department of Orthopaedics and Rehabilitation, University of Iowa Hospitals and Clinics, Iowa City, Iowa.
Journal of Wrist Surgery
|September 4, 2018
Summary
Ipsilateral distal radius and scaphoid fractures are rare, typically caused by high-energy injuries. Nondisplaced scaphoid fractures usually heal well with screw fixation, even with concurrent distal radius fractures.
Area of Science:
- Orthopedic Surgery
- Trauma Management
- Radiology
Background:
- Ipsilateral distal radius and scaphoid fractures are uncommon injuries.
- Limited data exists on their injury mechanisms, fracture patterns, and treatment outcomes.
Purpose of the Study:
- To describe the clinical and radiographic features of simultaneous ipsilateral distal radius and scaphoid fractures.
- To analyze injury mechanisms, fracture patterns, and treatment approaches for these rare injuries.
Main Methods:
- Retrospective review of a Level 1 trauma center database (2007-2017).
- Inclusion criteria: concurrent ipsilateral distal radius and scaphoid fractures.
- Data collected: demographics, injury mechanism, fracture patterns, treatment, and radiographic healing.
Main Results:
- 23 patients identified; 83% male, 83% high-energy mechanisms.
- 96% of scaphoid fractures were nondisplaced (waist); all treated with screw fixation.
- Most distal radius fractures were displaced, comminuted, and intra-articular (74%); all treated surgically.
- 95% scaphoid union rate; 80% radius fractures healed in anatomic alignment.
Conclusions:
- Ipsilateral distal radius and scaphoid fractures are rare, high-energy injuries.
- Nondisplaced scaphoid fractures demonstrate high union rates, even with associated distal radius fractures.
- Surgical management is typical for distal radius fractures; screw fixation for nondisplaced scaphoid fractures is effective.
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