4 observers assessed the cases using the Frykman, Fernández, Universal, and AO classification systems. The first 2 assessments were. Diagram shows the Frykman classification of distal radius fractures with or without involvement of the ulnar styloid: type I, simple metaphyseal area fracture; type. Frykman classification considers involvement of radiocarpal & RU joint, in addition to presnce or absence of frx of ulnar styloid process;.

Author: Bazilkree Shaktikazahn
Country: Iceland
Language: English (Spanish)
Genre: Video
Published (Last): 11 June 2013
Pages: 274
PDF File Size: 5.27 Mb
ePub File Size: 7.41 Mb
ISBN: 897-9-49153-167-8
Downloads: 1298
Price: Free* [*Free Regsitration Required]
Uploader: Taugami

Following fixation, a “shuck” test is performed and shows persistent instability of the distal radioulnar joint. She complains of wrist pain and deformity.

The outcomes of the current study are not necessarily related to better patient outcomes. Using these full classification systems, the interobserver reliability was fair to moderate.

Classification systems for distal radius fractures

Orthopedics ; 33 Preferably, a new classification system also based on CT instead of CR alone should be developed. The back-fire forced the crank backward into the chauffeur’s palm and produced the characteristic styloid fracture.

On the other hand, an unstable, displaced intra-articular fracture is difficult to treat and has a poor prognosis without operative intervention. This has implications for external validity generalizability and for comparing trials with each other.

Colles Fracture

Classifications at time points 1 and 3 were used to determine the interobserver reliability for frrykman CR for each pair of observers observer 1—2, 1—3, 1—4; 2—3, 2—4; 3—4 and we report the mean of these results with the associated CI. Historical paper on the fracture of the carpal extremity of the radius Colles’ fracture is defined as a linear transverse fracture of the distal radius approximately mm proximal to the articular surface with dorsal angulation of the distal fragment [3].


Which of the following is the most likely cause for failure of fixation in this patient? The other 3 classifications showed a similar increase in the number of classificatipn fractures. Loading Stack – 0 images remaining. Clzssification contrast to our hypothesis, the results of this study revealed that the increase in reliability when using additional CT scanning was seen only in the intraobserver reliability, with the exception of the Frykman classification.

ADL training within tolerance [32].

At nine weeks and at 13 weeks the wrist girths were similar. Slipping of the epiphysis with dorsal displacement, often with a dorsally avulsed triangular fragment of the radius occurs in the age range years Type 3: The fracture pattern, degree of displacement, the stability of the fracture, and the age and physical demands of the patient will all be considered when determininmg the best treatment option [24] [25]. Stable Colles’ fractures present with minimal comminution.

Psychological Assessment ; 6 4: Abstract Background and purpose — The reliability of conventional radiography when classifying distal radius fractures DRF is fair to moderate.


Conventional high-rate TENS is useful for disrupting the pain cycle through a prolonged treatment session as great as 24 hours a day. The other changes were not statistically significant.

Frykman Classification of Distal Radial Fractures | UW Emergency Radiology

Member feedback about Older’s classification: In the Nissen-Lie classification system there are seven types of fractures.

The included patients had a mean age of 50 14 years. Classification Although it appears complicated, it is actually only a four-type classification odd-numbered types with each type having a subtype which includes ulnar styloid fracture these are the even-numbered types: Percentage of changes in classification after adding a CT scan round 1 versus 3.

The classification system was first published in The content on or accessible through Physiopedia is for informational purposes only.

Educational and Psychological Measurement ; Ao classification Intraobserver reliability: From the patients who entered the emergency room during the study period with a distal radius fracture with a questionable indication for surgery, 51 patients met the inclusion criteria Figure. Statistics Classifications at time points 1 and 2 were used to determine the intraobserver reliability for the CR for each observer separately.

For example, in the AO classification the ratio of intra-articular to extra-articular fractures increased from