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Fractures of the Distal Radius pp 189–220Cite as

Compression Fractures of the Articular Surface

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Abstract

Compression fractures of the distal radius are those injuries whose major feature is an impaction of the subchondral and metaphyseal cancellous bone in concert with disruption of the distal radius articular surface (Fig. 7.1). In some instances, restoration of the articular disruption is readily achieved by applying longitudinal tension on the radiocarpal ligaments,3 while in other instances, the disimpaction of the cartilage-bearing fragments may require operative reduction with replacement of the metaphyseal bony defect with a bone graft.

It is conceivable that in the case of a sudden and violent fall, the force of which is sustained by the hand, the rounded articular surface of the carpal mass, before the movement of backward flexion is completed, may be driven up against the concave articular surface of the radius with such force as to split it or perforate it. L.S. Pilcher, M.D. 1917

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References

  1. Axelrod TS, Mcmurtry RY: Open reduction and internal fixation of comminuted intraarticular fractures of the distal radius. J Hand Surg 15A: 1–10, 1990.

    Google Scholar 

  2. Axelrod TS, Paley D, Green J, Mcmurtry RY: Limited open reduction of the lunate facet in comminuted intraarticular fractures of the distal radius. J Hand Surg 13A: 372–377, 1988.

    Google Scholar 

  3. Bartosh RA, Saidaña MJ: Intraarticular fractures of the distal radius. A cadaveric study to determine if ligamentotaxis restores palmar tilt. J Hand Surg 15A: 18–21, 1990.

    Google Scholar 

  4. Bradway J, Amadio PC, Cooney WP III: Open reduction and internal fixation of displaced, comminuted intraarticular fractures of the distal end of the radius. J Bone Joint Surg [Am] 71A: 839–847, 1989.

    Google Scholar 

  5. Callendar GW: Fractures injuring joints. Fractures interfering with the movements at the wrist and with those of pronation and supination. Saint Banthdomewis Hospital Reports, pp. 281–298, 1865.

    Google Scholar 

  6. Castaing J: Les fractures récentes de l’extrémité inférieure du radius chez l’adulte. Rev Chir Orthop 50: 581–696, 1964.

    PubMed  CAS  Google Scholar 

  7. Clancey CJ: Percutaneous Kirschner wire fixation of Colles’ fractures: A prospective study of thirty-two cases. J Bone Joint Surg [Am] 66A: 1008–1014, 1984.

    Google Scholar 

  8. Clyburn TA: Dynamic external fixation for comminuted intraarticular fractures of the distal end of the radius. J Bone Joint Surg [Am] 69A: 248–254, 1987.

    Google Scholar 

  9. Cole JM, Obletz BE: Comminuted fractures of the distal end of the radius treated by skeletal transfixion in plaster cast: An end-result study of thirty-three cases. J Bone Joint Surg [Am] 48A: 931–945, 1966.

    Google Scholar 

  10. Colles A: On the fracture of the carpal extremity of the radius. Edinburgh Med Surg J 10: 181–184, 1814.

    Google Scholar 

  11. Cooney WP III: Distal radial fractures: External fixation. In: Fractures of the Hand and Wrist, edited by Barton NJ Edinburgh, London, Melbourne, New York: Churchill Livingstone, 1988, pp. 290–301.

    Google Scholar 

  12. Cooney WP III, Linscheid RL, Dobyns JH: External pin fixation for unstable Colles’ fractures. J Bone Joint Surg [Am] 61A: 840–845, 1979.

    Google Scholar 

  13. Cotton FJ: Fractures of the lower end of the radius. Ann Surg 32: 194–218, 1900.

    Article  PubMed  CAS  Google Scholar 

  14. DePalma AF: Comminuted fractures of the distal end of the radius treated by ulnar pinning. J Bone Joint Surg [Am] 34A: 651–662, 1952.

    Google Scholar 

  15. Dowling JJ, Sawyer B Jr: Comminuted Colles’ fractures. Evaluation of a method of treatment. J Bone Joint Surg [Am] 43A: 657–668, 1961.

    Google Scholar 

  16. Edwards GS: Intraarticular fractures of the distal part of the radius. Treatment with the small AO external fixator. J Bone Joint Surg. [Am] 73A: 1241–1250, 1991.

    Google Scholar 

  17. Fernandez DL: Avant-bras segment distal. In: Classification AO des Fractures des Os Longs, edited by Müller ME, Nazarian S, Koch P. Berlin, Heidelberg, New York: Springer-Verlag, 1987, pp. 106–115.

    Google Scholar 

  18. Fernandez DL: Current management of intraarticular fractures of the distal radius. In: Wrist Disorders, edited by Nakamura R and Linscheid R. Tokyo: Springer-Verlag, 1993.

    Google Scholar 

  19. Fernandez DL, Geissler WB: Treatment of displaced articular fractures of the radius. J Hand Surg 16A: 375–384, 1991.

    Google Scholar 

  20. Fernandez DL, Jakob RP, Büchler U: External fixation of the wrist. Current indications and techniques. Ann Chir Gyn 72: 298–302, 1983.

    CAS  Google Scholar 

  21. Gartland JJ, Werley CW: Evaluation of healed Colles’ fractures. J Bone Joint Surg. [Am] 33A: 895–907, 1951.

    Google Scholar 

  22. Geissler WB, Fernandez DL: Percutaneous and limited open reduction of the articular surface of the distal radius. J Orthop Trauma 5: 255–264, 1991.

    Article  PubMed  CAS  Google Scholar 

  23. Hastings H II, Leibovic S: Indications and techniques of open reduction: Internal fixation of distal radius fractures. Orthop Clin North Am 24: 309–326, 1993.

    PubMed  Google Scholar 

  24. Huresh Z, Volpin G, Hoener D, Stein H: The surgical treatment of severe comminuted intraarticular fractures of the distal radius. Clin Orthop Rel Res 263: 147–153, 1991.

    Google Scholar 

  25. Jakim I, Pieterse HS, Sweet MBE: External fixation for intraarticular fractures of the distal radius. J Bone Joint Surg [Am] 73B: 302–306, 1991.

    Google Scholar 

  26. Jupiter JB, Lipton H: The operative treatment of intraarticular fractures of the distal radius. Clin Orthop Rel Res 292: 1–14, 1993.

    Google Scholar 

  27. Knirk JL, Jupiter JB: Intraarticular fractures of the distal end of the radius in young adults. J Bone Joint Surg [Am] 68A: 647–659, 1986.

    Google Scholar 

  28. Kopylov P, Johnell O, Redlund-Johnell I, Bengner U: Fractures of the distal end of the radius in young adults: A 30-year follow-up. J Hand Surg 18B: 45–49, 1993.

    Google Scholar 

  29. Leung KS, Shen WY, Tsang HK, Chiu KH, Leung PC, Hung LK: An effective treatment of comminuted fracture of the distal radius. J Hand Surg 15A: 11–17, 1990.

    Google Scholar 

  30. Melone CP Jr: Open treatment for displaced articular fractures of the distal radius. Clin Orthop Rel Res 202: 103–111, 1986.

    Google Scholar 

  31. Melone CP Jr: Distal radius fractures: Patterns of articular fragmentation. Orthop Clin North Am 24: 239–254, 1993.

    PubMed  Google Scholar 

  32. Missakian ML, Cooney WP III, Amadio PC, Glidewell HL: Open reduction and internal fixation for distal radius fractures. J Hand Surg 17A: 745–755, 1992.

    Google Scholar 

  33. Mortier JP, Baux S, Uhl JF, Mimoun M, Mole B: L’importance du fragment posterointerne et son brochage spécifique dans les fractures de l’extremité inférieur. Ann Chir Main 2: 219–229, 1983.

    Article  PubMed  CAS  Google Scholar 

  34. Mortier JP, Kuhlmann JN, Richet C, Baux S: Brochage horizontal cubito-radial dans les fractures de l’extrémité inférieure du radius comportent un fragment posterointerne. Rev Chir Orthop 72: 567–571, 1986.

    PubMed  CAS  Google Scholar 

  35. Morton R: A radiographic survey of 170 cases clinically diagnosed as “Colles’ fracture.” Lancet March: 731–732, 1907.

    Google Scholar 

  36. Mudgal CS, Jones WA: Scapholunate diastasis: A component of fractures of the distal radius. J Hand Surg 15B: 503–505, 1990.

    Google Scholar 

  37. Petit JL: Complete Works of J.L. Petit. Paris, 1844.

    Google Scholar 

  38. Pilcher LS: Fractures of the lower extremity or base of the radius. Ann Surg 65: 1–25, 1917.

    Article  PubMed  CAS  Google Scholar 

  39. Porter ML, Tillman RM: Pilon fractures of the wrist. J Hand Surg 17B: 63–68, 1992.

    Google Scholar 

  40. Pouteau C: Oeuvres posthumes de M. Pouteau. Mémoire, contenant quelques réflexions sur quelques fractures de l’avant-bras sur les luxations incomplettes du poignet et sur le diastasis. Paris: Ph-D Pierres, 1783.

    Google Scholar 

  41. Raskin KB, Melone CP Jr.- Unstable articular fractures of the distal radius: Comparative techniques of ligamentotaxis. Orthop Clin North Am 24: 275–286, 1993.

    PubMed  CAS  Google Scholar 

  42. Rogers SC: An analysis of Colles’ fracture. Br Med J 1: 807–809, 1944.

    Article  PubMed  CAS  Google Scholar 

  43. Scheck M: Long-term follow-up of treatment of comminuted fractures of the distal end of the radius by transfixation with Kirschner wires and cast. J Bone Joint Surg [Am] 44A: 337–351, 1962.

    Google Scholar 

  44. Seitz WH, Froimson AI, Leb R, Shapiro JD: Augmented external fixation of unstable distal radius fracture. J Hand Surg 16A: 1010–1016, 1991.

    Google Scholar 

  45. Seitz WH, Putnam MD, Dick HM: Limited open surgical approach for external fixation of distal radius fractures. J Hand Surg 15A: 288–293, 1990.

    Google Scholar 

  46. Stevens JH: Compression fractures of the lower end of the radius. Ann Surg 71: 594–618, 1920.

    Article  PubMed  CAS  Google Scholar 

  47. Szabo RM, Weber SC: Comminuted intraarticular fractures of the distal radius. Clin Orthop Rel Res 230: 39–48, 1988.

    Google Scholar 

  48. Villar RN, March D: Three years after Colles’ fracture. A prospective review. J Bone Joint Surg [Am] 69B: 635–638, 1987.

    Google Scholar 

  49. Voillemire: Arch Gen Med 13: 261, 1842.

    Google Scholar 

  50. Wagner HE, Jakob RP: Operative Behandlung der distalen Radiusfrakturen mit Fixateur externe. Unfallchirurgie 88: 473–480, 1985.

    CAS  Google Scholar 

  51. Weber SC, Szabo RM: Severely comminuted distal radius fractures as an unsolved problem: Complications associated with external fixation and pins and plaster techniques. J Hand Surg 11A: 157–165, 1986.

    Google Scholar 

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Author information

Authors and Affiliations

  1. Orthopaedische Chirurgie FMH, Switzerland

    Diego L. Fernandez M.D.

  2. Orthopaedic Surgery, Harvard Medical School, USA

    Jesse B. Jupiter M.D. (Associate Professor, Director)

  3. Orthopaedic Hand Service, Massachusetts General Hospital, USA

    Jesse B. Jupiter M.D. (Associate Professor, Director)

Authors
  1. Diego L. Fernandez M.D.
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  2. Jesse B. Jupiter M.D.
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© 1996 Springer-Verlag New York, Inc.

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Fernandez, D.L., Jupiter, J.B. (1996). Compression Fractures of the Articular Surface. In: Fractures of the Distal Radius. Springer, New York, NY. https://doi.org/10.1007/978-1-4684-0478-4_7

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  • DOI: https://doi.org/10.1007/978-1-4684-0478-4_7

  • Publisher Name: Springer, New York, NY

  • Print ISBN: 978-1-4684-0480-7

  • Online ISBN: 978-1-4684-0478-4

  • eBook Packages: Springer Book Archive

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