Abstract
Various radiographic factors have been suggested as predictively important when dealing with an unstable distal radius fracture. Accordingly, many classification systems have been established in order to give an accurate description of a fracture and to grade the seriousness of the injury. In this paper, we use the classification of Colles fractures introduced by Frykman to investigate the predictive value of a concomitant fracture of the ulnar styloid. We found styloid affection to be a better predictor of a poor outcome than intra-articularity, but the combination carries the worst prognosis. We therefore suggest that a fracture of the distal radius associated with those two types of injuries should be considered for surgical treatment.
This is a preview of subscription content, log in via an institution to check access.
Similar content being viewed by others
References
Abbaszadegan H, Jonsson U, Sievers K (1989) Prediction of instability of Colles' fractures. Acta Orthop Scand 60:646–650
Adolphson P, Abbaszadegan H, Jonsson U (1993) Computer-assisted prediction of the in stability of Colles' fractures. Int Orthop 17:13–15
Andersen GR, Rasmussen JB, Dahl B, Solgaard S (1991) Older's classification of Colles' fractures. Good intraobserver and itnerobserver reproducibility in 185 cases. Acta Orthop Scand 62:463–464
Collert S, Isacson J (1978) Management of redislocated Colle's fractures. Clin Orthop 135:183–186
Frykman G (1967) Fracture of the distal radius including sequelae — shoulder-hand-finger syndrome, disturbance in the distal radio-ulnar joint and impairment of nerve function. Acta Orthop Scand [Suppl] 108
Gartland JJ, Werley CW (1951) Evaluation of healed Colles' fractures. J Bone Joint Surg [Am] 33:895–907
Jenkins NH, Mintowt-Czyz WJ (1988) Mal-union and dysfunction in Colle's fracture. J Hand Surg [Br] 13:291–293
Johnston GH, Friedman L, Kriegler JC (1992) Computerized tomographic evaluation of acute distal radial fractures. J Hand Surg [Am] 17:738–744
Kaukonen JP, Porras M, Karaharju E (1988 a) Anatomical results after distal forearm fractures. Ann Chir Gynaecol 77:21–26
Kaukonen JP, Karahaju EO, Porras M, Luthje P, Jakobsson A (1988 b) Functional recovery after fractures of the distal forearm. Analysis of radiographic and other factors affecting the outcome. Ann Chir Gynaecol 77:27–31
Kongsholm J, Olerud E (1987) Comminuted Colle's fractures treated with external fixation. Arch Orthop Trauma Surg 106:220–225
Lidstrom A (1959) Fractures of the distal end of the radius. A clinical and statistical study of end results. Acta Orthop Scand [Suppl. 41]
McQueen MM, MacLaren A, Chalmers J (1986) The value of remanipulating Colle's fractures. J Bone Joint Surg [Br] 68:232–233
Older TM, Stabler EV, Cassenbaum WH (1965) Colles fracture: evaluation and selection of therapy. J Trauma 5:469–476
Porter M, Stockley I (1987) Fractures of the distal radius. Intermediate and end results in relation to radiologic parameters. Clin Orthop 220:241–251
Solgaard S (1984) Classification of distal radius fractures. Acta Orthop Scand 56:249–252
Solgaard S (1988) Function after distal radius fracture. Acta Orthop Scand 59:39–42
Stewart HD, Innes AR, Burke FD (1985) Factors affecting the outcome of Colles' fracture: an anatomical and functional study. Injury 16:289–295
Taylor GW, Parsons L (1938) The role of the discus articularis in Colles' fracture. J Bone Joint Surg [Am] 20:149–152
Van Der Linden W, Ericson R (1981) Colles' fracture. How should its displacement be measured and how should it be immobilized? J Bone Joint Surg [Am] 63:1285–1288
Villar RN et al (1987) Three years after Colle's fracture, a prospective review. J Bone Joint Surg [Br] 69:635–638
Author information
Authors and Affiliations
Rights and permissions
About this article
Cite this article
Oskarsson, G.V., Aaser, P. & Hjall, A. Do we underestimate the predictive value of the ulnar styloid affection in Colles fractures?. Arch Orthop Trauma Surg 116, 341–344 (1997). https://doi.org/10.1007/BF00433986
Received:
Issue Date:
DOI: https://doi.org/10.1007/BF00433986