Distal Radius Fractures: Classifications and Contemporary Treatment.

J Am Acad Orthop Surg · Apr 15 2026 · Review

Bronenberg Victorica P, Shapiro LM, Richard MJ, Kamal RN

From the Department of Orthopaedic Surgery, Hospital Italiano de Buenos Aires (Bronenberg Victorica), the Department of…

Hand & Upper Extremity Orthopaedic Trauma

SUMMARY — THE REDUCTIONThis review traces the strengths and limitations of historical distal radius fracture classification systems and argues that a contemporary system reflecting current knowledge of fracture patterns, instability, and treatment is needed.
Abstract, as published

Distal radius fractures are one of the most common fractures with a growing incidence in the active and aging population. The classification of these fractures is complex due to continued improvements in our understanding of fracture patterns, their injury mechanisms, and resultant patterns of instability. This complexity has led to multiple classification systems that have not been updated with contemporary knowledge on distal radius fracture patterns and their respective treatments. We describe historical classification systems, their strengths, and limitations, and discuss gaps that may be filled by a contemporary system.

Featured in the 2026-10-11 issue.

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