Die-punch fracture

Case contributed by Dr Henry Knipe


Fall from 2 meters

Patient Data

Age: 60 years
Gender: Male

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


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.

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Case information

rID: 38847
Published: 7th Aug 2015
Last edited: 21st Mar 2020
Inclusion in quiz mode: Included

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