Distal Radius Fractures: Evaluation of Instability and Therapeutic Approach

  • Thierry Authom
  • Michel Lafontaine
  • Dominique C. R. Hardy
  • Philippe Delincé
Part of the NATO ASI Series book series (NSSA, volume 256)


For many years, various factors have been considered to be associated with secondary displacement of distal radius fractures. However, the assessment of the instability and the limits of conservative treatment often remain based on the clinical experience of the surgeon. In a previous retrospective study, Lafontaine et al.4 considered 5 supposed severity factors: age over 60 years, dorsal comminution, dorsal angle greater than 20°, intra-articular radio-carpal fracture and fracture of the ulnar styloid process. They found a strong correlation between the sum of these five factors and the risk of secondary displacement after orthopedic reduction and cast immobilization.


Distal Radius Distal Radius Fracture Comminute Fracture Therapeutic Group Severity Factor 
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Copyright information

© Springer Science+Business Media New York 1994

Authors and Affiliations

  • Thierry Authom
    • 1
  • Michel Lafontaine
    • 1
  • Dominique C. R. Hardy
    • 1
  • Philippe Delincé
    • 1
  1. 1.Orthopedic DepartmentHôpital Universitaire Saint-PierreBrusselsBelgium

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