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50% intra-articular
Associated injuries
Osteoporosis
Classification
Eponyms
Die-punch A depressed fracture of the lunate fossa of the articular
fxs surface of the distal radius
Barton's fx Fx dislocation of radiocarpal joint with intra-articular fx
involving the volar or dorsal lip (volar Barton or dorsal
Barton fx)
Chauffer's fx Radial styloid fx x
Colles' fx Low energy, dorsally displaced, extra-articular fx
Smith's fx Low energy, volar displaced, extra-articular fx
Imaging
Radiographs
Radial
23 degrees change <5
inclination
Articular
congruous <2 mm stepoff
stepoff
dorsal angulation <5 or within 20 of
LAT Volar tilt 11 degrees contralateral distal radius
CT scans
o TFCC injuries
o scapholunate ligament injuries (DISI)
Treatment
Nonoperative
indications
extra-articular
Operative
displaced intra-articular fx
volar or dorsal comminution
severe osteoporosis
Indications
Technique
o rehabilitation
Outcomes
o repeat closed reductions have 50% less than satisfactory results
Complications
o EPL rupture
Percutaneous Pinning
Indications
Techniques
Outcomes
External Fixation
Indications
Technical considerations
Outcomes
Complications
o malunion/nonunion
ORIF
Indications
o metaphyseal-diaphyseal extension
o die-punch fxs
Technique
o volar plating
o dorsal plating
Complications
progressive paresthesias
EPL rupture
o may be nonsymptomatic
o Intra-articular malunion
Compartment syndrome
RSD/CRPS