Distal radius fracture classification: Difference between revisions
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==Classification== | ==Classification== | ||
There are multiple classifications available for distal radius fractures. The most common classification systems for distal radius fractures include Frykman (1967), Fernández (2001), Universal (Cooney 1993), and AO classification (Marsh et al. 2007).<ref name="pmid4175195">{{cite journal| author=Frykman G| title=Fracture of the distal radius including sequelae--shoulder-hand-finger syndrome, disturbance in the distal radio-ulnar joint and impairment of nerve function. A clinical and experimental study. | journal=Acta Orthop Scand | year= 1967 | volume= | issue= | pages= Suppl 108:3+ | pmid=4175195 | doi= | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=4175195 }} </ref> | There are multiple classifications available for distal radius fractures. The most common classification systems for distal radius fractures include Frykman (1967), Fernández (2001), Universal (Cooney 1993), and AO classification (Marsh et al. 2007).<ref name="pmid4175195">{{cite journal| author=Frykman G| title=Fracture of the distal radius including sequelae--shoulder-hand-finger syndrome, disturbance in the distal radio-ulnar joint and impairment of nerve function. A clinical and experimental study. | journal=Acta Orthop Scand | year= 1967 | volume= | issue= | pages= Suppl 108:3+ | pmid=4175195 | doi= | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=4175195 }} </ref><ref name="pmid11778328">{{cite journal| author=Fernandez DL| title=Distal radius fracture: the rationale of a classification. | journal=Chir Main | year= 2001 | volume= 20 | issue= 6 | pages= 411-25 | pmid=11778328 | doi= | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=11778328 }} </ref> | ||
===Frykman Classification=== | ===Frykman Classification=== | ||
I Extra-articular | |||
II Extra-articular with ulnar fracture | |||
III Intra-articular into radiocarpal joint | |||
IV Intra-articular into radiocarpal joint with ulnar fracture | |||
V Intra-articular into radioulnar joint | |||
VI Intra-articular into radioulnar joint with ulnar fracture | |||
VII Intra-articular into radiocarpal + radioulnar joints | |||
VIII Intra-articular into radiocarpal + radioulnar joints with ulnar fracture | |||
Revision as of 21:13, 12 December 2018
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Rohan A. Bhimani, M.B.B.S., D.N.B., M.Ch.[2]
Overview
There are multiple classifications available for distal radius fractures. The most common classification systems for distal radius fractures include Frykman, Fernández, Universal, and AO classification. (Marsh et al. 2007).
Classification
There are multiple classifications available for distal radius fractures. The most common classification systems for distal radius fractures include Frykman (1967), Fernández (2001), Universal (Cooney 1993), and AO classification (Marsh et al. 2007).[1][2]
Frykman Classification
I Extra-articular II Extra-articular with ulnar fracture III Intra-articular into radiocarpal joint IV Intra-articular into radiocarpal joint with ulnar fracture V Intra-articular into radioulnar joint VI Intra-articular into radioulnar joint with ulnar fracture VII Intra-articular into radiocarpal + radioulnar joints VIII Intra-articular into radiocarpal + radioulnar joints with ulnar fracture
OTA System
The Trauma Association classification is widely accepted and under constant review. (More details available here.)
- (21-A) Extra-articular
- (21-A2) Radius only
- (21-A3) Radius and ulna
- (21-B) Articular fracture involving articular surface of only one of the two bones
- (21-B2) Radius fractured, ulna intact
- (21-B3) Articular of one bone, extra-articular of other
- ((21-C) Articular fracture involving articular surface of two bones
- (21-C2) Simple of one, multifragmentary of other
- (21-C3) Multifragmentary of both
References
- ↑ Frykman G (1967). "Fracture of the distal radius including sequelae--shoulder-hand-finger syndrome, disturbance in the distal radio-ulnar joint and impairment of nerve function. A clinical and experimental study". Acta Orthop Scand: Suppl 108:3+. PMID 4175195.
- ↑ Fernandez DL (2001). "Distal radius fracture: the rationale of a classification". Chir Main. 20 (6): 411–25. PMID 11778328.