Background: Ipsilateral fractures of the distal radius and scaphoid are rare, with few reports describing mechanisms of injury, fracture patterns, and treatment approaches. Case presentation: A patient with Ipsilateral comminuted, displaced distal fracture of the radius and fracture of the scaphoid was treated via internal fixation of the scaphoid fracture with Herbert screw and internal fixation of the distal radius fracture with locked volar & dorsal plating. Conclusions: Rigid internal fixation of the distal radius and scaphoid fracture is mandatory to start early active rehabilitation of the wrist without the need for wrist immobilization with plaster or external skeletal fixation.