{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,13]],"date-time":"2026-09-13T09:05:17Z","timestamp":1789290317128,"version":"build-2803163510"},"reference-count":0,"publisher":"Indian Orthopaedic Research Group","issue":"9","content-domain":{"domain":["jocr.co.in"],"crossmark-restriction":true},"short-container-title":["Jocr"],"published-print":{"date-parts":[[2026]]},"abstract":"<jats:p>Introduction:\nConcomitant ipsilateral fractures of the distal radius and scaphoid are uncommon and are typically associated with high-energy trauma. The combination of a comminuted intra-articular distal radius fracture with scaphoid fracture-dislocation and carpal instability represents a particularly rare and complex injury pattern. Early recognition of associated carpal injuries is important to restore and maintain anatomical alignment.\n\nCase Report:\nA 32-year-old right-hand-dominant man presented with severe pain, swelling, and deformity of the left wrist following a high-energy motorcycle road traffic accident. Radiographs demonstrated a comminuted intra-articular distal radius fracture associated with a displaced scaphoid fracture-dislocation and disruption of carpal alignment. Neurovascular status was intact. Following initial immobilization and resolution of soft-tissue swelling, definitive surgery was performed on day 3. The distal radius was reduced and stabilized through a modified Henry approach using volar locking plate fixation supplemented by dorsal plating. The scaphoid fracture was reduced and stabilized with a Herbert screw, while the associated carpal instability was addressed with Kirschner-wire fixation. Wrist range-of-motion exercises were initiated at 4 weeks, and the carpal Kirschner wires were removed at 6 weeks. At 8 months, radiographs demonstrated complete union of the distal radius and scaphoid with maintained carpal alignment. The patient achieved 40\u00b0 of wrist flexion and 60\u00b0 of extension, with a pain score of 3\/10 and no limitation in activities of daily living.\n\nConclusion:\nThis case highlights the importance of carefully evaluating carpal alignment in high-energy distal radius fractures to identify associated scaphoid and intercarpal injuries. Comprehensive operative stabilization of the distal radius, scaphoid, and unstable carpal relationships can restore anatomical alignment and provide a stable construct for rehabilitation.\n\nKeywords:\nDistal radius fracture , scaphoid fracture , carpal instability , wrist injuries , fracture fixation<\/jats:p>","DOI":"10.13107\/jocr.2026.v16.i09.8016","type":"journal-article","created":{"date-parts":[[2026,9,6]],"date-time":"2026-09-06T01:53:41Z","timestamp":1788659621000},"page":"149-153","update-policy":"https:\/\/doi.org\/10.13107\/crossmark-policy","source":"Crossref","is-referenced-by-count":0,"title":["Concomitant Distal Radius Fracture with Scaphoid Fracture-Dislocation and Carpal Instability: A Case Report"],"prefix":"10.13107","volume":"16","author":[{"given":"Pranay","family":"Choudhary","sequence":"first","affiliation":[{"name":"Department of Orthopedics, Andhra Medical College, King George Hospital, Visakhapatnam, Andhra Pradesh, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Praneeth","family":"Chowdhary","sequence":"additional","affiliation":[{"name":"Department of Orthopedics, Andhra Medical College, King George Hospital, Visakhapatnam, Andhra Pradesh, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sayam","family":"Ghosh","sequence":"additional","affiliation":[{"name":"Department of Orthopedics, Sitaram Bhartia Institute of Science and Research, New Delhi, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"5271","published-online":{"date-parts":[[2026]]},"container-title":["Journal of Orthopaedic Case Reports"],"original-title":[],"deposited":{"date-parts":[[2026,9,13]],"date-time":"2026-09-13T08:45:24Z","timestamp":1789289124000},"score":1,"resource":{"primary":{"URL":"https:\/\/jocr.co.in\/wp\/2026\/09\/concomitant-distal-radius-fracture-with-scaphoid-fracture-dislocation-and-carpal-instability-a-case-report\/"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026]]},"references-count":0,"journal-issue":{"issue":"9","published-online":{"date-parts":[[2026]]},"published-print":{"date-parts":[[2026]]}},"URL":"https:\/\/doi.org\/10.13107\/jocr.2026.v16.i09.8016","relation":{},"ISSN":["2321-3817"],"issn-type":[{"value":"2321-3817","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026]]},"assertion":[{"value":"Research Article","name":"content_type","label":"Content Type"},{"value":"Yes","name":"crosschecked","label":"CrossChecked"},{"value":"Yes","name":"peer_reviewed","label":"Peer Reviewed"},{"value":"10.13107\/jocr.2026.v16.i09.8016","name":"published","label":"Published"},{"value":"Creative Commons Attribution","name":"license","label":"License","explanation":{"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},"group":{"name":"rights","label":"Rights"}}]}}