Keifhaber-Stern classification of volar plate avulsion injuries of hand

This classification was proposed originally by Hastings and later modified by Keifhaber and Stern in 1998. This classification, along with the Eaton classification, is the most widely accepted classification at the time of writing (August 2016) for the management of volar plate avulsion injuries 1.

According to this classification, there are three types of volar plate avulsion injury:

  • stable avulsion fracture involving < 30% of the articular base of the middle phalanx
  • tenuous avulsion fracture involving 30%-50% of the articular base of the middle phalanx; reduces with < 30° of flexion
  • unstable avulsion fracture involving < 50% articular base of the middle phalanx but requires > 30° flexion to maintain reduction
Fractures
Share article

Article information

rID: 47255
Synonyms or Alternate Spellings:
  • Keifhaber-Stern classification

Support Radiopaedia and see fewer ads

Updating… Please wait.
Loadinganimation

Alert accept

Error Unable to process the form. Check for errors and try again.

Alert accept Thank you for updating your details.