Fracture of the Scaphoid Associated with Volar Displacement of a Lower Radial Epiphyseal Fracture Case Report

Abstract

A 13-year-old boy fell off his bicycle and landed on his outstretched left hand, sustaining a Salter-Harris type II fracture of the lower radial epiphysis with volar displacement, and an undisplaced fracture across the waist of the left scaphoid. After manipulation, and immobilisation for six weeks, he made a complete recovery and has no residual deformity. We hypothesise that the fracture was caused by the weight of the body being taken by the relatively stiff and immobile hand, and could find no report of a similar case.

Key Words:

• scaphoid fracture with Smith's fracture
• mechanism of Smith's fracture