Die-punch fracture
Presentation
Fall from 2 meters
Patient Data
Age: 60 years
Gender: Male
From the case:
Die-punch fracture
X-ray
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Frontal
Comminuted intra-articular fracture of the distal radius. Carpal alignment is normal. Mild degenerative change at the first carpometacarpal joint.
From the case:
Die-punch fracture
CT
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Axial bone window
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 hematoma of the tissue surrounding the distal radial fracture.
Volar backslab in-situ.
Case Discussion
A die-punch fracture is the name given to an intra-articular fracture of the lunate fossa of the distal radius.