M.E.Müller: Atlas: Fracture 23-A2

Radius/Ulna, Distal,
extra-articular fracture radius,
simple and impacted 1,21% of the total
9,42% of the radius/ulna
21,30% of the segment

65 fractures 9,8% group 55%M, 45%F

462 fractures 70,0% group 39%M, 61%F

133 fractures
20,2% group
48%M, 52%F

Without any tilt +Q With dorsal tilt (Pouteau-Colles’) +Q With volar tilt (Goyrand-Smith’s) +Q

These are extra-articular fractures of the distal radius with a simple fracture line, impacted with a dorsal tilt (Pouteau- Colles fracture ). Ref. D. L. Fernández, J. B. Jupiter. Fractures of the distal radius.
Springer, 1995.
Surgeon. DF.

Since these are extra-articular fractures located in a relatively bulky metaphysis and also because they are impacted, these fractures are stable. Small dorsal tilts may not need reduction or remain stable when reduced.

If they are not stable, they can be fixed with one or two percutaneous Kirschner wires. A plaster cast with some flexion of the wrist and ulnar deviation of the hand must always be used.

preoperative preoperative

+ 4 months + 4 months

These are extra-articular fractures of the distal radius, with a simple fracture line and with a volar tilt (Goyrand-Smith fracture). Ref. D. L. Fernández, J. B. Jupiter. Fractures of the distal radius.
Springer, 1995.
Surgeon. DF.

In contrast with the A2.2 subgroup, these fractures usually show a greater displacement and are more unstable. When reduction fixed with percutaneous Kirschner wires and a plaster cast is not considered to be adequate, internal fixation must be indicated and

performed with a plate, placed in the volar aspect of the radius in order to obtain a buttres effect. The implant to be used is the small fragment T plate, either of the right angle or of the oblique type. Supplemental immobilization with an external splint should be used for 2-3 weeks.

preoperative preoperative

+ 6 months + 6 months




						Radius/Ulna, Distal, extra-articular fracture radius, simple and impacted	1,21% of the total 9,42% of the radius/ulna 21,30% of the segment






These are extra-articular fractures of the distal radius with a simple fracture line, impacted with a dorsal tilt (Pouteau- Colles fracture ).		Ref. D. L. Fernández, J. B. Jupiter. Fractures of the distal radius. Springer, 1995. Surgeon. DF.

Since these are extra-articular fractures located in a relatively bulky metaphysis and also because they are impacted, these fractures are stable. Small dorsal tilts may not need reduction or remain stable when reduced.	If they are not stable, they can be fixed with one or two percutaneous Kirschner wires. A plaster cast with some flexion of the wrist and ulnar deviation of the hand must always be used.






These are extra-articular fractures of the distal radius, with a simple fracture line and with a volar tilt (Goyrand-Smith fracture).		Ref. D. L. Fernández, J. B. Jupiter. Fractures of the distal radius. Springer, 1995. Surgeon. DF.

In contrast with the A2.2 subgroup, these fractures usually show a greater displacement and are more unstable. When reduction fixed with percutaneous Kirschner wires and a plaster cast is not considered to be adequate, internal fixation must be indicated and	performed with a plate, placed in the volar aspect of the radius in order to obtain a buttres effect. The implant to be used is the small fragment T plate, either of the right angle or of the oblique type. Supplemental immobilization with an external splint should be used for 2-3 weeks.