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Table 3 Pros and cons of the classifications of the distal radius fracture

From: Melone’s concept revisited in comminuted distal radius fractures: the three-dimensional CT mapping

Classifications

Advantages

Disadvantages

Frykman (1967)

Identifying individual involvement of the radiocarpal and radioulnar as well as the presence or absence of a fracture of the ulnar styloid process

Not making a distinction between displaced and non-displaced intra-articular fractures

Melone (1984)

Creating characteristic fracture fragments based on the effect of the lunate’s impaction on the radial articular surface

Not including the fractures neither affect the articular surface of the radiocarpal nor the radioulnar joints

AO/OTA (1986/2018)

The most detailed classification system to date

Depending on CT and poor reproducibility

Mayo Clinic classification (1992)

Emphasizing the role of specific articular contact areas and the fracture stability

Not quantitative

Fernandez (1993)

Providing the mechanism of injury and potential soft tissue damage (tendon, ligament, nerve, vessels)

Not including the radial articular surface