4 observers assessed the cases using the Frykman, Fernández, Universal, and AO classification systems. The first 2 assessments were. Diagram shows the Frykman classification of distal radius fractures with or without involvement of the ulnar styloid: type I, simple metaphyseal area fracture; type. Frykman classification considers involvement of radiocarpal & RU joint, in addition to presnce or absence of frx of ulnar styloid process;.

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How important is this topic for clinical practice? J Hand Surg Am ; 26 2: L8 – 10 years in practice.

Dorsal angulation, radial length 1 to 7 mm, no comminution. How important is this topic for board examinations? The interobserver reliability of the investigated classification classifiation for distal radius fractures was poor to fair and did not improve when using additional CT scanning. A prospective database was established between January 1, and March 2, of patients with a displaced distal radius fracture seen at the emergency rooms in a hospital in Amsterdam Onze Lieve Vrouwe Gasthuis.

The back-fire forced the crank backward into the chauffeur’s palm and produced the characteristic styloid fracture. At the time of the index operation, there was no distal radioulnar joint instability after plating of the radius. By using experienced observers, we hypothesized that the intraobserver and interobserver reliability is higher when using conventional radiography with additional CT. A Colles’ fracture is a type dlassification fracture of the distal forearm in which the broken end of the radius is bent backwards.


We therefore estimated an ICC between 0. Out of this awakening and reformation came the Swedish Mission Covenant Church in The included patients had a mean age of 50 14 years. Although this recovery did not parallel the improvement in claassification movement. When refering to evidence in academic writing, you should always try to reference the primary original source.

Chauffeur’s fracture, also known as Hutchinson fracture, is a type of fracture of the forearm, specifically the radial styloid process.

This study [36] proved that in the groups with displaced and undisplaced fractures, the recovery of forearm rotation and finger movement paralleled the recovery of wrist movement: List excludes anatomical terminology covered in index of anatomy articles.

Clsasification classification of distal forearm fractures Frykman classification of distal radius fractures Frykman classification.

If the patient is unable to tolerate a slow, prolonged stretch, shorter stretches of 10 seconds can be performed for 10 repetitions.

On physical exam she has no sensation of the volar thumb, index, and middle fingers. During postoperative recovery from this injury, what benefit does formal physical therapy have as compared to a patient-guided home exercise program? The classification is as follows: The outcomes of the current study are not necessarily related to better patient outcomes.

Classification systems for distal radius fractures

Another strength is that the number of patients selected for surgical treatment ranged widely between the 4 observers, showing that this group of patients is representative of the group of patients lacking consensus.

The volar forearm splint is best for temporary immobilization of forearm, wrist and hand fractures, including Colles fracture. Although increasing the number in either group would yield a more precise reliability estimate, the number of fractures has a greater impact on the ckassification than the number of observers Steiner and Norman As Colles fractures are so common, many methods of treatment have been developed to stabilize the fractures and allow the bone to heal.


Can be associated with ulnar styloid fracture, TFCC tear, scapholunate dissociation.

Distal Radius Fractures – Trauma – Orthobullets

He denies any new trauma, and has followed all post-operative activity restrictions. Classifications at time points 1 and 3 were used to determine the interobserver reliability for the CR for each pair of observers observer 1—2, 1—3, 1—4; 2—3, 2—4; 3—4 and we report the mean of these results with the associated CI. Intra-articular, no displacement Type 3: There are no open wounds and the hand is neurovascularly intact.

Classification Though the Frykman classification system has traditionally been used, there is little value in its use because it does not help direct treatment. The patient got a treatment with passive interventions to improve circulation and prevent immobilization adhesion formation. Which plating option provides the most appropriate treatment of this fracture?

Wheeless’ Textbook of Orthopaedics

Received Apr 12; Accepted Apr The patient undergoes open reduction and internal fixation of the fracture. Flow chart of patients in the study. Analysis and interpretation of data.