Distal radius fracture classification: Difference between revisions

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Revision as of 21:01, 12 December 2018

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]

Frykman Classification

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.

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[pmid4175195-1] 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.

[1]

@@ Line 2: / Line 2: @@
 {{Distal radius fracture}}
 {{CMG}} {{AE}} {{Rohan}}
-==Classification==
-In medicine, classifications systems are devised to describe patterns of injury which will behave in predictable ways, to distinguish between conditions which have different outcomes or which need different treatments. Most wrist fracture systems have failed to accomplish any of these goals and there is no consensus about the most useful one.
 ==Overview==
-There is no established system for the classification of [disease name].
+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).
-OR
-[Disease name] may be classified according to [classification method] into [number] subtypes/groups: [group1], [group2], [group3], and [group4].
-OR
-[Disease name] may be classified into [large number > 6] subtypes based on [classification method 1], [classification method 2], and [classification method 3].
-[Disease name] may be classified into several subtypes based on [classification method 1], [classification method 2], and [classification method 3].
-OR
-Based on the duration of symptoms, [disease name] may be classified as either acute or chronic.
-OR
-If the staging system involves specific and characteristic findings and features:
-According to the [staging system + reference], there are [number] stages of [malignancy name] based on the [finding1], [finding2], and [finding3]. Each stage is assigned a [letter/number1] and a [letter/number2] that designate the [feature1] and [feature2].
-OR
-The staging of [malignancy name] is based on the [staging system].
-OR
-There is no established system for the staging of [malignancy name].
 ==Classification==
-There is no established system for the classification of [disease name].
+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>
-OR
-[Disease name] may be classified according to [classification method] into [number] subtypes/groups:
-*[Group1]
-*[Group2]
-*[Group3]
-*[Group4]
-OR
-[Disease name] may be classified into [large number > 6] subtypes based on:
-*[Classification method 1]
-*[Classification method 2]
-*[Classification method 3]
-[Disease name] may be classified into several subtypes based on:
+===Frykman Classification===
-*[Classification method 1]
-*[Classification method 2]
-*[Classification method 3]
-OR