There is evidence of a recent fracture of the distal metaphysis of the radius and ulnar styloid.
The Frykman classification of distal radial fractures is based on the AP appearance.
There is a Frykman type VIII: transverse metaphyseal fracture of the distal radius (type VII plus ulnar styloid fracture).
Fracture 1 - distal radius: There appears to be a transverse fracture line. The fracture extends from the medial to the lateral cortex. There appears to be comminution of the fracture fragments. There is distraction of approximately 5 mm. The fracture margin extends to and involves the adjacent radio-ulnar articular cartilage surface. The proximal articular surface of the radio-carpal joint is disrupted with a fragment including approximately 20 % of the articular surface.
Fracture 2 - ulnar styloid: There appears to be a transverse fracture line. The fracture extends from the medial to the lateral cortex. There is distraction of approximately 1 mm. The articular surfaces are intact.