Die-punch fracture

Case contributed by Dr Balint Botz


Distal radius fracture confirmed by radiographs elsewhere, preoperative evaluation.

Patient Data

Age: 25 years
Gender: Male

An impressed fracture of the distal radial articular surface is clearly visible. Note the resultant negative ulnar variance. 


Postoperative follow-up

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. 

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Case information

rID: 82915
Published: 20th Oct 2020
Last edited: 20th Oct 2020
System: Trauma
Inclusion in quiz mode: Included
Institution: University of Pécs