Fracture assessment and decision making
These are complete articular fractures with both simple articular and metaphyseal components. They may involve a dorsoulnar (posteromedial) articular fragment, or a sagittal or frontal articular fracture line.
Anatomical reduction and stabilization of these fractures are also essential because of the functional implications of the involvement of the distal radioulnar joint.
Once reduced, the fragments may all be held sufficiently with a palmar locking plate.