“…Less common mechanisms of injury include forced palmar flexion of the wrist (Ritchie and Munter, 1999), and axial loading of the wrist with the wrist in a flexed position, as occurs when punching (Horii et al, 1994). Other unusual mechanisms of injury include the application of rigid handcuffs (Ball et al, 2008), and playing a 'smash' shot in a game of badminton (Brutus and Chahidi, 2004). 'Test your strength' punch-bag machine were once only seen in amusement parks and, until the last few years, all the scaphoid fractures that we saw with this mechanism of injury were attributable to a machine found on Skegness pier.…”