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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

ClassificationsAdvantagesDisadvantages
Frykman (1967)Identifying individual involvement of the radiocarpal and radioulnar as well as the presence or absence of a fracture of the ulnar styloid processNot 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 surfaceNot 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 dateDepending on CT and poor reproducibility
Mayo Clinic classification (1992)Emphasizing the role of specific articular contact areas and the fracture stabilityNot quantitative
Fernandez (1993)Providing the mechanism of injury and potential soft tissue damage (tendon, ligament, nerve, vessels)Not including the radial articular surface