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.