section: 1/4 page: 1/2 next

1Preliminary remarks

Fracture assessment and decision making

These are metaphyseal fractures with no dorsal tilt.

In weak bone (osteoporosis), these fractures may be unstable in a cast and may shorten. If shortening of the radial metaphysis results in relative ulnar overlength, painful ulnar impaction may occur.

When the distal fragment is disimpacted, if there is a significant void created, a palmar locking plate is an effective means of stabilizing the fracture.