Bilateral distal radius fractures with seven month pregnancy during the peak period of National Lockdown due to COVID 19 pandemic in Nepal: A case report

ABSTRACT

Introduction Even though distal radius fracture is a common orthopedic problem, bilateral distal radius fracture associated with pregnancy is a very rare injury pattern. A twenty-three old female with seven-month pregnancy came to our hospital with a history of falling from 10 feet height and sustained a fracture on both sides of the wrist joint. On examination, there was a Grade IIIA open fracture on the right wrist, suspected closed fracture on the left wrist, and distended lower abdomen with estimated seven-month pregnancy. X-ray of bilateral wrist and forearm was performed along with ultrasonography of abdomen and pelvis. She was successfully managed through debridement, K wires fixation, and external fixator on the right forearm while fracture on the left side was treated with closed reduction and percutaneous K wires fixation. However, the fetus was evacuated as dead because of concomitant intrauterine fetal injury even though we successfully saved the limb and life during the lockdown period with an extremely worst situation. Conclusion This combination injury in the same individual during the peak period of COVID 19 National Lockdown not only is a challenging condition that needs multidisciplinary management but also requires life and limb saving judicial surgical intervention in one of the worst surrounding environments.