section: 1/5 page: 1/2 next

1Preliminary remarks

Fracture assessment

As these are intraarticular fractures, where possible, they should be treated with anatomic reduction and absolute stability in order to minimize the risk of subsequent degenerative changes in the joint.
 
Anatomical reduction and stabilization of these articular fractures is also essential because of the functional implications of the involvement of the distal radioulnar joint.
 
Complete articular fractures are among the most common fractures seen and treated in the older population, with underlying osteoporosis. When these fractures occur in younger individuals, they are more likely to be the result of high energy trauma, with associated soft-tissue, or skeletal injuries.

It is not possible to make an accurate assessment of the details of these injuries without a CT scan.

In cases of extreme comminution, where it is not felt possible to reconstruct the joint, a joint spanning bridge plate of the distal radial joint surface may be considered.