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 |