Die-punch fracture

Case contributed by Dr Henry Knipe


Fall 2 metres.

Patient Data

Age: 60
Gender: Male

Comminuted intra-articular fracture of the distal radius. Carpal alignment is normal. Mild degenerative change at the first carpometacarpal joint.


Volar backslab in-situ. Comminuted fracture of the distal radial articular surface extending through the radial styloid process. Step deformity of the distal articular surface (lunate facet) measures a maximum of 3 mm. Carpal bone alignment and joint spaces are preserved. Soft tissue haematoma of the tissue surrounding the distal radial fracture.

Case Discussion

A die-punch fracture is the name given to an intra-articular fracture of the lunate fossa of the distal radius.

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Case information

rID: 38847
Published: 7th Aug 2015
Last edited: 26th Aug 2017
Inclusion in quiz mode: Included

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