Distal Radius Fracture

Distal radius fractures are one of the most common fractures presenting to orthopaedic surgeons. They can be caused by both high energy trauma or simples fall onto an outstretched hand.

The BOAST [British Orthopaedic  Association Standards for Trauma] guidelines outline a number of points when treating these injuries. Patients with distal radial fractures should be assessed within a fracture clinic setting within 72 hours. Patients with stable fracture patterns can be treated non operatively. Patients with a significant deformity, neurological compromise, a step in the joint surface or significant radial shortening at the fracture site, should be considered for surgical intervention. Volar displaced fractures are unstable and should always be considered for surgical intervention.

The decision to operate should be made after discussion between the patient and their treating surgeon.

If surgery has been chosen to be the treatment of choice this should be carried out within 72 hours if the fracture involves the joint surface. If the fracture is outside of the joint this surgery should be carried out within one week of the injury.

An example of a fracture involving the joint surface and subsequent surgical reconstruction.