M.E.Müller: Atlas: Fracture 23-B1

Radius/Ulna, Distal,
partial articular fracture radius,
sagittal 0,32% of the total
2,53% of the radius/ulna
5,70% of the segment

65 fractures 36,7% group 73%M, 27%F

85 fractures 48,0% group 74%M, 26%F

27 fractures
15,3% group
63%M, 37%F

Lateral simple +Q Lateral multifragmentary +Q Medial +Q

These are simple partial articular fractures of the distal radius, lateral simple in the sagittal plane. Ref. D. L. Fernández, J. B. Jupiter. Fractures of the distal radius.
Springer, 1995.
Surgeon. DF.

These fractures are frequent in young patients with good quality bone stock. These fractures reproduce the classic diagram of the fractures of the medial malleolus of the ankle and they should be treated in the same way.

Since these are intra-articular fractures, the reduction must be anatomic and the fixation stable, performed with a lag screw holding on to the contralateral cortex, helped with Kirschner wires if necessary.

preoperative preoperative

+ 1 year + 1 year

These are partial articular fractures of the distal radius, simple in the sagittal plane and with lateral multifragmentation. Ref. D. L. Fernández, J. B. Jupiter. Fractures of the distal radius.
Springer, 1995.
Surgeon. DF, MS.

Because of their intra-articular condition, anatomic reduction is mandatory and open reduction may be required. In the illustrated case, fixation was obtained by a combination of an external fixator and percutaneous Kirschner wires. The surgery of the distal radius combines all of the options available in the

armamentarium, adapted to the needs of each individual case.

The B1.3 subgroup differs in that the free fragment is medial, requiring a direct ventral approach in order to obtain a precise reduction.

preoperative preoperative

postoperative postoperative

+ 1 year + 1 year

preoperative preoperative

+ 1 months + 1 months

+ 5 months + 5 months




						Radius/Ulna, Distal, partial articular fracture radius, sagittal	0,32% of the total 2,53% of the radius/ulna 5,70% of the segment






These are simple partial articular fractures of the distal radius, lateral simple in the sagittal plane.		Ref. D. L. Fernández, J. B. Jupiter. Fractures of the distal radius. Springer, 1995. Surgeon. DF.

These fractures are frequent in young patients with good quality bone stock. These fractures reproduce the classic diagram of the fractures of the medial malleolus of the ankle and they should be treated in the same way.	Since these are intra-articular fractures, the reduction must be anatomic and the fixation stable, performed with a lag screw holding on to the contralateral cortex, helped with Kirschner wires if necessary.






These are partial articular fractures of the distal radius, simple in the sagittal plane and with lateral multifragmentation.		Ref. D. L. Fernández, J. B. Jupiter. Fractures of the distal radius. Springer, 1995. Surgeon. DF, MS.

Because of their intra-articular condition, anatomic reduction is mandatory and open reduction may be required. In the illustrated case, fixation was obtained by a combination of an external fixator and percutaneous Kirschner wires. The surgery of the distal radius combines all of the options available in the	armamentarium, adapted to the needs of each individual case. The B1.3 subgroup differs in that the free fragment is medial, requiring a direct ventral approach in order to obtain a precise reduction.