Result of the treatment of complex wrist injury following high-energy trauma in a young patient: a case report

Abstract

High-energy fractures of the distal radius are characterized by serious displacement and the possibility of fractures of other bones of the hand, wrist and damage to the carpal ligaments. However, simultaneous fractures of the distal radius, the scaphoid and lunate bones are even rarer, and exceptionally rare are fractures of 4 different bones in the hand. In this article we report a case of complex wrist injury following high-energy trauma, that included: severely displaced distal radius and ulna fractures, with concomitant the scaphoid and base of the fifth metacarpal fractures. The patient was operated on and each fracture was fixed using different methods and implants. At a follow-up assessment at 4 months, the result of the treatment was good, which allowed the patient to return to work.