Fractures du scaphoïde associées aux fractures de l’extrémité distale du radius chez l’adulte

Dumontier, C.; Carmès, S.; Kadji, O.

doi:10.1016/j.hansur.2016.05.008

Cited by 2 publications

(1 citation statement)

References 22 publications

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“…Bilateral combined association of these fractures is extremely rare and results due to high-energy trauma [ 1 , 6 ]. There is no consensus regarding the mechanism of injury [ 7 ].…”

Section: Discussionmentioning

confidence: 99%

Bilateral combined fractures of the scaphoid and distal radius: a case report

Meraghni¹,

Lahlali²,

Oussaid³

et al. 2022

JOCR

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Introduction: A combination of bilateral scaphoid and distal radius fractures is extremely rare. It may occur as a result of high-energy trauma and can be neglected. The current paper described a case study of this rarely combined fracture. Case Report: A 22-year-old female was admitted to the emergency department following a fall while exercising which resulted in severe pain in both wrists without any neurovascular deficit. X-ray imaging showed bilateral combined fractures of the scaphoid and distal radius. To fix the fractures, the patient underwent closed reduction and internal fixation with Kirschner wires along with immobilization for 3 months. The radius and scaphoid fractures were united within approximately 6 and 10 weeks, respectively. Conclusion: Combined bilateral scaphoid and distal radius fractures are extremely rare resulting from high-energy trauma. The associated fractures require a precise diagnosis and appropriate therapeutic management. Keywords: distal radius, scaphoid, fracture, bilateral, reduction

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“…Bilateral combined association of these fractures is extremely rare and results due to high-energy trauma [ 1 , 6 ]. There is no consensus regarding the mechanism of injury [ 7 ].…”

Section: Discussionmentioning

confidence: 99%

Bilateral combined fractures of the scaphoid and distal radius: a case report

Meraghni¹,

Lahlali²,

Oussaid³

et al. 2022

JOCR

View full text Add to dashboard Cite

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Improved Outcomes in Operative Management of Concomitant Distal Radius and Scaphoid Fractures

Verlinsky

Ulmer

Rose

et al. 2023

Hand (New York, N,Y.)

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Background: This study aims to investigate the characteristics of concomitant distal radius and scaphoid fractures and determine outcome differences of operative and nonoperative management. Methods: A retrospective search of a level-1 trauma center’s database over a 15-year period (2007-2022) for concomitant distal radius and scaphoid fractures in adult patients was completed. In all, 31 cases were reviewed for mechanism of injury, method of fracture management, distal radius fracture AO Foundation/Orthopaedic Trauma Association classification, scaphoid fracture classification, time to radiographic scaphoid union, time to motion, and other demographics. A multivariate statistical analysis was completed comparing outcomes in operative versus conservative management of the scaphoid fracture in these patients. Outcomes were defined as time to radiographic union and time to motion. Results: In all, 22 cases of operative fixation of the scaphoid and 9 cases of nonoperative management of the scaphoid were reviewed. One case of nonunion was identified in the operative group. Operative management of scaphoid fractures resulted in a statistically significant reduction in time to motion (2-week reduction) and time to radiographic union (8-week reduction). Conclusions: This study demonstrates that operative management of scaphoid fractures in the setting of a concomitant distal radius fracture reduces the time to radiographic union and time to clinical motion. This suggests that operative management is ideal in patients who are good candidates for surgery and desire earlier return of motion. However, conservative management should be considered, as nonoperative care showed no statistical difference regarding union rates of scaphoid or distal radius fractures.

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Fractures du scaphoïde associées aux fractures de l’extrémité distale du radius chez l’adulte

Cited by 2 publications

References 22 publications

Bilateral combined fractures of the scaphoid and distal radius: a case report

Bilateral combined fractures of the scaphoid and distal radius: a case report

Improved Outcomes in Operative Management of Concomitant Distal Radius and Scaphoid Fractures

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