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
Introduction
the purpose of this study was to assess the orthopaedic surgeons' perceptions and attitudes on COVID-19 related changes in their practice.
Methods
an online survey was shared with orthopaedic surgeons practicing in different countries.
Results
this study showed that orthopaedic surgery plan management was adapted to respond more effectively to the COVID-19 pandemic while maintaining the continuity of health care and ensuring protection of medical staff and patients. Among the introduced measures, elective surgery was postponed to free-up beds for suspected or COVID-19 positive patients requiring hospitalization. Additionally, the number of outpatient visits was considerably decreased and non-urgent visits were postponed to reduce the flow of patients in and out of hospitals and therefore minimize the risk of contamination. Interestingly, data revealed the willingness of orthopaedic surgeons to take care of COVID-19 positive patients and support their colleagues in intensive care units, if needed.
Conclusion
orthopaedic surgery departments have adapted their programs to face the unprecedented challenges due to the COVID-19 pandemic. Quick measures were taken to reduce the risk of contamination in patients, medical staff and to allow hospitals to free up beds for treatment of patients with positive or suspected COVID-19.
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