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Journal of Hand Surgery (European Volume)
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Articles

Combined Fractures of the Distal Radius and Scaphoid

M. RUTGERS
C. S. MUDGAL
R. SHIN

From the Massachusetts General Hospital, Orthopaedic Hand and Upper Extremity Service, Boston, MA, USA

Correspondence: Chaitanya S. Mudgal, MD, Instructor, Orthopaedic Surgery, Harvard Medical School, Massachusetts General Hospital, Orthopaedic Hand and Upper Extremity Service, 55 Fruit Street, Yawkey Center, Suite 2100, Boston, MA 02114, USA. Tel.: +1 617 643 3945; fax: +1 617 724 8532. E-mail: cmudgal{at}partners.org.

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° flexion and 71° 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.

Key Words: fracture • distal radius • scaphoid • combined • ipsilateral

Journal of Hand Surgery (European Volume), Vol. 33, No. 4, 478-483 (2008)
DOI: 10.1177/1753193408090099
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