4 observers assessed the cases using the Frykman, Fernández, Universal, and AO classification systems. The first 2 assessments were. Diagram shows the Frykman classification of distal radius fractures with or without involvement of the ulnar styloid: type I, simple metaphyseal area fracture; type. Frykman classification considers involvement of radiocarpal & RU joint, in addition to presnce or absence of frx of ulnar styloid process;.

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Frykman classification – Wikipedia

Based on the methodology proposed by Giraudeau and Marywe used the expected value of the ICC, along with the claasification of raters and the desired confidence interval and confidence level, to determine the number of subjects to be evaluated in this study.

This has implications for external validity generalizability and for comparing trials with each other. The classification system was first published in An increasing awareness of osteoporosis has led to these injuries being termed fragility fractures, with the implication that a workup for osteoporosis should be a standard part of treatment. The relatively low mean age in this study may affect the outcome and could give higher reliability. Please review our privacy policy.

Frykman Classification of Distal Radial Fractures

Low energy, volar displaced, extra-articular fx. Radiographs are provided in Figures A-C. Low energy extra-articular fracture of the distal radius. After soft tissue swelling subsides, open reduction and internal fixation of the distal radius is performed. Orthopedic surgeons use both surgical and nonsurgical means to treat musculoskeletal injuries, sports injuries, degenerative diseases, infections, bone tumours, and congenital limb deformities.

Index of trauma and orthopaedics articles topic The Tree of Andry Orthopedic surgery is the branch of surgery concerned with conditions involving the musculoskeletal system. Fractures Aviator’s fracture Bankart’s fracture Barton’s fracture Bennett’s fracture Boxer’s fracture Bumper fracture Burst fracture Bosworth fracture Chance fracture Chopart’s fracture-dislocation Clay-Shoveller fracture Colles’ fracture Cotton’s fracture Dupuytren’s fracture Duverney fracture Essex-Lopresti fracture Galeazzi fracture Gosselin fracture Hangman’s fracture Holstein—Lewis fracture Holdsworth fracture Hutchinson’s fracture Hoffa fracture Hume fracture Jefferson fracture Jones fracture Lisfranc fracture March fracture Maisonneuve fracture Malgaigne’s fracture Monteggia fracture Moore’s fracture Night-stick fracture Pilon fracture Pipkin fracture-dislocation Plafond fracture Pott’s fracture Rolando fracture Segond fracture Shepherd’s fracture Side-swipe fracture Smith’s fracture Stieda fracture Straddle fracture Tillaux-Chaput avulsion fracture Wagstaffe-Le Fort avulsion fracture Volkmann avulsion fracture Orthopedic classifications Bado classifi Currently, the wound has healed.


On the lateral side of the radius is a styloid process, onto which the brachioradialis inserts and from which the radial collateral ligament of the wrist originates. Conventional high-rate TENS is useful for disrupting the pain cycle through a prolonged treatment session as great as 24 hours a day.

Although previous literature showed that CT scans are more reliable than CR quantifying articular surface incongruencies, to our knowledge no previous studies have reported the impact on clinical outcome of intra-articular involvement without a step or gap. Overview of included classification systems.

Both the volar and dorsal approach, which are used in the treatment of the majority of distal radius fractures, do not provide an adequate view of the dorsal, volar and intra-articular comminuted fracture. He undergoes operative treatment of his fracture, and immediate post-op radiographs are shown in Figure C.

Interobserver and intraobserver reliability. Psychological Assessment ; 6 4: J Am Acad Orthop Surg ; 18 3: Does fgykman CT improve inter- and intra-observer agreement for the AO, Fernandez and universal classification systems for distal radius fractures?

After the introduction of the roentgen and the growing awareness of the diversity of fracture features, the number of subtypes along with fracture eponyms increased.

The distal ulna attaches to a meniscus-like structure, the triangular fibrocartilage discus, which can be torn with wrist fractures. J Orthop Trauma ; 21 10 Suppl: The interobserver ICC was: Sao Paulo Med J ; 3: Poor interobserver reliability of AO classification of fractures of the distal radius: The postreduction CT scan was performed after a mean of 2.


J Clin Epidemiol ; 56 If the patient is unable to tolerate a slow, prolonged stretch, shorter stretches of 10 seconds can be performed for 10 repetitions. Frykman classification Intraobserver reliability: Guidelines, criteria, and rules of thumb for evaluating normed and standardized assessment instruments in psychology.

The addition of CT showed no rfykman significant improvement.

Frykman classification of distal radial fractures | Radiology Reference Article |

The order of the images was randomized at each time point. Intra-articular, dorsal angulation, joint surface not comminuted Group 2-C: Member feedback about Evangelical Covenant Church: For further information on the Anatomy and assessment of the wrist. Design of study; Acquisition, analysis and interpretation of data; Writing of manuscript. L7 – years in practice.

Educational and Psychological Measurement ; The literature is still not conclusive on this topic and the results of one study may contradict or, on the contrary, reinforce the classifkcation of another study. Articles with specifically marked weasel-worded Support Center Support Center.

A limitation of our study is that the sample size was underestimated for the interobserver classicication. There are a number of ways to classify distal radius fractures. How would you treat this fracture based on the post-reduction radiographs?

Using the CT scan as the reference standard, we can state that simple fracture types are less accurately classified when using only a radiograph than more severe types.

No external funding was received for this study.

Distal Radius Fractures

Early mobilisation would ensure rapid recovery of wrist and hand function while avoiding the complications of a conventional plaster cast [36]. Using these full classification systems, the interobserver reliability was fair to moderate. What is the appropriate surgical treatment at this time?