Classification of fractures of the distal radius

Abstract

A good fracture classification system should prove both inter and intra observer reliability, should be treatment-oriented and enough simple to be used in the every day practice. None of the classifications currently in use probably meets these criteria. However some classifications have increased our knowledge of different types of fractures and outlined some special patterns. Older, Frykman, Thomas, Melone, AO, Rayhack and Fernandez classifications are described and their contribution to a better understanding and treatment of these fractures is discussed. Simplified guidelines to treatment of fractures of the distal radius is proposed based on the following issues: articular and non-articular fracture, reducible and non-reducible fracture, stable and non-stable fracture.