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Fall on an outstretched hand, in addition to the innumerable classical fractures and dislocations, may produce unusual combinations of injury. The exact mechanism of these injuries is not always easy to discern. Aufrance et al. (1967) described a case of dislocation of the elbow associated with fractures of the proximal and radius. Agoropoulos et al. (1973) presented a series of case of unusual combination of simultaneous fracture of the carpal scaphoid and head of the radius. We had an opportunity to study an unusual combination of simultaneous fracture separation of the proximal and the distal radial epiphysis which is being reported.