IPSILATERAL SCAPHOID AND INTRAARTICULAR RADIUS FRACTURE TREATED BY HERBERT SCREW FIXATION

The type and extent of a wrist lesion depends on the angulation of the hand, the force of impact and the age of the patient. We report on an unusual transscaphoidal subluxation fracture in combination with a sh ear fracture of the radius, caused by a low impact hyperextension trau ma. To provide interfragmentary compression and a free mobility of the articular surfaces, two Herbert screws were used for osteosynthesis. The Herbert screw was designed originally for osteosynthesis of scapho id fractures. As this implant can be buried completely within the bone , it allows fixation of other small articular fragments accordingly. T his is demonstrated in the patient presented here who had a hyperexten sion trauma with unusual consequences.