Distal radius fractures are the most common orthopedic injury, often resulting from a fall on an outstretched hand, with a higher incidence in females and older patients. Treatment can be either non-operative or operative based on fracture stability and patient factors, and various classifications exist for different fracture types. Complications may include nerve neuropathies, mal-union, and non-union, with pediatric patients representing a significant portion of such fractures.

1. DISTAL RADIUS
FRACTURES
DR AHMED FAIZAN KHAN
MEDICAL OFFICER
DEPARTMENT OF ORTHOPEDICS IHT

2. • THE RADIUS IS A LONG BONE IN THE
FOREARM. IT LIES LATERALLY AND
PARALLEL TO ULNA
• THE RADIUS PIVOTS AROUND THE
ULNA TO PRODUCE
MOVEMENT AT PROXIMAL AND
DISTAL
RADIO-ULNAR JOINTS

4. BLOOD SUPPLY
 ULNAR ARTERY
 RADIAL ARTERY
 ANTERIOR INTEROSSEOUS
ARTERY
 POSTERIOIR INTEROSSEOUS
ARTERY

6. • DISTAL RADIUS FRACTURES ARE THE MOST COMMON
ORTHOPAEDIC INJURY AND GENERALLY RESULT FROM FALL ON AN
OUTSTRETCHED HAND
• DIAGNOSIS IS MADE CLINICALLY AND RADIOGRAPICALLY

7. TREATMENT CAN BE NON-
OPERATIVE OR OPERATIVE
DEPENDING ON FRACTURE
STABILITY AND FRACTURE
DISPLACEMENT AS WELL AS
PATIENTS AGE AND
ACTIVITY DEMANDS.

8. INCIDENCE IS 17.5% OF ALL
FRACTURES IN ADULTS
MORE COMMON IN FEMALES
(2-3:1)
YOUNGER PATIENTS DUE TO
HIGH ENERGY IMPACT
OLDER PATIENTS DUE TO LOW
ENERGY IMPACT

9. RISK FACTORS
• OSTEOPOROSIS
• OBESITY
• POST MENOPAUSAL WOMEN
• FREQUENT FALLS

10. CLASSIFICATION
FRYKMAN ( BASED ON JOINT
INVOLVEMENT )
AO CLASSIFICATION

11. FRYKMAN CLASSIFICATION

12. AO CLASSIFICATION

14. DIE-PUNCH FRACTURE
• DEPRESSED FRACTURE OF
THE
LUNATE FOSSA OF THE
ARTICULAR
SURFACE OF THE DISTAL
RADIUS

15. BARTON’S FRACTURE
• FRACTURE –DISLOCATION OF RADIOCARPAL
JOINT WITH INTRA-ARTICULAR FRACTURE
INVOLVING THE VOLAR OR DORSAL LIP
(VOLAR BARTON OR DORSAL BARTON
FRACTURE)

16. CHAUFFER’S FRACTURE
• RADIAL STYLOID FRACTURE

17. COLLES FRACTURE:
• LOW ENERGY , DORSALLY
DISPLACED, EXTRA-ARTICULAR
FRACTURE

18. SMITH’S FRACTURE
• LOW ENERGY, VOLARLY
DISPLACED,
EXTRA-ARTICULAR FRACTURE

19. CLINICAL MANAGEMENT
• HISTORY
• PHYSICAL EXAMINATION
• IMAGING
• TREATMENT

20. RADIOGRAPHIC CRITERIA

21. CT SCAN
TO EVALUATE INTRA-
ARTICULAR
INVOLVEMENT AND SURGICAL
PLANNING
MRI SCAN

22. TREATMENT
 NON-OPERATIVE
CLOSED REDUCTION AND SPLINT/CAST
IMMOBILIZATION
 OPERATIVE
CLOSED REDUCTION AND PERCUTANEOUS K-WIRING
OPEN REDUCTION AND INTERNAL FIXATION
EXTERNAL FIXATOR APPLICATION

27. LIGAMENTOTAXIS
IT IS A PRINCIPLE OF MOLDING
FRACTURE
FRAGMENTS INTO ALIGNMENT AS A
RESULT OF TENSION APPLIED ACROSS A
FRACTURE BY THE SURROUNDING
INTACT
SOFT TISSUES

28. COMPLICATIONS
MEDIAN NERVE NEUROPATHY
(CTS)

29. ULNAR NERVE NEUROPATHY

30. EPL RUPTURE
FPL RUPTURE
RADIOCARPAL ARTHROSIS
MAL-UNION
NON-UNION

31. PEDIATRIC AGE GROUP
 40 PERCENT OF ALL PEDIATRIC LONG
BONES FRACTURES
 INCIDENCE IS GREATER IN MALES AS
COMPARED TO FEMALES
 10 TO 12 YEARS IN GIRLS
 12 TO 14 YEARS IN BOYS
 MOST COMMON FRACTURE IN CHILDERN
UNDER 16 YEARS OLD

33. FRACTURES

34. GALEAZZI FRACTURE

35. MONTEGGIA FRACTURE