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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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. Slipping of the epiphysis with dorsal displacement, often with a dorsally avulsed triangular fragment of the radius occurs in the age range years Type 3: To determine the accuracy, direct visualization through operative intervention would theoretically be the gold standard, but practically this is unrealistic.

No competing interests were declared.

Frykman Classification of Distal Radial Fractures

Evaluation of the reliability of classification systems used for distal radius fractures. L8 cpassification 10 years in practice. Good to excellent agreement was found only when using the AO classification of only 3 types Type A: Abstract Background frymkan purpose — The reliability of conventional radiography when classifying distal radius fractures DRF is fair to moderate.

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

There is no median nerve paresthesias.

All authors revised the manuscript. The values were interpreted as described by Cicchetti ; ICC values less than 0. Fryjman limitation of our study is that the sample size was underestimated for the interobserver reliability.

Retrieved 13 November Frykman classification of distal forearm fractures Frykman classification of distal radius fractures Frykman classification.

Journal List Acta Orthop v. Possible complications may include:. What is the appropriate surgical treatment at this time?

Frykman classification of distal radial fractures | Radiology Reference Article |

Core Tested Community All. For this reason we chose a relatively low, but clinically representative, number of 4 observers. Guidelines, criteria, and rules of thumb for evaluating normed and standardized assessment instruments in psychology.

No external funding was received for this study. Communication of the distal fragment and fractures into the joint surface are present in some of these fractures. Which of the following is the most likely cause for failure of fixation in this patient? Reliability of plain radiography versus computed tomography. Colles’ fracture is defined as a linear transverse fracture of the distal radius approximately mm proximal to the articular surface with dorsal angulation of the distal fragment [3].


We suggest use of the AO classification, as this is currently the classification system most frequently used and the reliability is comparable to the classirication classification systems.

Orthopedic surgeons use both surgical and nonsurgical means to treat musculoskeletal injuries, sports injuries, degenerative diseases, infections, bone tumours, and congenital limb deformities.

List excludes anatomical terminology covered in index of anatomy articles. The equivalence of weighted kappa and the intraclass correlation coefficient as measures of reliability.

Bone fractures Revolvy Brain revolvybrain. These campuses award primarily bachelor’s and master’s degrees. A prospective database was established between January 1, and March 2, of patients with a displaced distal radius fracture seen at the emergency rooms in a hospital in Amsterdam Onze Lieve Vrouwe Gasthuis. The pre-specified estimation of ICC for intraobserver reliability as described in the methods was comparable to our estimation so we can be confident that our number of raters is sufficient.

Classificatioj Center for Biotechnology InformationU. There frrykman a number of ways to classify distal radius fractures. This has implications for external validity generalizability and for comparing trials with each other. ADL training within tolerance [32].

The frykmna of the current study are not necessarily related to better patient outcomes.