J Korean Orthop Assoc.  1988 Apr;23(2):499-507. 10.4055/jkoa.1988.23.2.499.

A Clinical Study of Anatomic Position Change on the Intra - articular Comminuted Fracture of the Distal Radius

• Chang IY
• Chung YK
• Cho WH
• Yoo YH

• KMID: 2444640
• DOI: http://doi.org/10.4055/jkoa.1988.23.2.499

Abstract

Despite a variable degree of comminution, the intra-articular fracture of the distal radius comprises four basic fragments : 1.Radial shaft; 2.Radial styloid; 3.Dorsal medial fragment; 4.Palmar medial fragment. For the period of 3 years from May 1984 to May 1987, 26 patients who had been treated for intra-articular fracture of the distal radius by various methods at the Department of Orthopedic Surgery, Kang Nam Sacred Heart Hospital, Hallym College are presented. According to the objective criteria of Scheck(18) used for calculating the degree of anatomic position change, the result obtained were as follows : 1. The most common fracture type was Type II by Melon(6) classification. 2. The average age of patients was 34 years old. 3. We agree that the accurate anatomic reduction with internal fixation assures better results in the distal radius intra-articular fracture. 4. CT scan was necessary for the accurate diagnosis of articular surface destruction. 5. Accurate relationship of the anatomic and functional result could be analyzed by Scheck(18) and Melon(6) concepts.

Keyword

Intra-articular fracture of the distal redius; Medial fragment

MeSH Terms

Classification
Clinical Study*
Diagnosis
Fractures, Comminuted*
Heart
Humans
Intra-Articular Fractures
Orthopedics
Radius*
Tomography, X-Ray Computed