Presentation
Distal radius fracture confirmed by radiographs elsewhere, preoperative evaluation.
Patient Data
Age: 25 years
Gender: Male
From the case:
Die-punch fracture
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An impressed fracture of the distal radial articular surface is clearly visible. Note the resultant negative ulnar variance.
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Status post fixation with volar locking plate. Absence of negative ulnar variance.
Case Discussion
Die-punch fractures are typically the result of high-energy axial loading forces. Due to the widespread involvementof the articular surface operative management remains the mainstay of their therapy.