The Frykman classification of distal radial fractures is based on the AP appearance. It assesses the pattern of fractures, involvement of the radioulnar joint and presence of a distal ulnar styloid fracture.

This complex case involves a comminuted fracture with involvement of both the radiocarpal and radioulnar joints (type VII) and an accompanying ulnar styloid fracture classifying the complete fracture as a Frykman type VIII distal radial fracture.

As with other Frykman type distal radial fractures, CT of the wrist would be of value in defining the extent of disruption of the distal radial articular surfaces. An orthopedic review is recommended for the possibility of an ORIF.