Management of Distal Radius Fractures Through the Growth Plate

Fracture Classification and Management

Displacement >3mm is generally considered significant in distal radius fractures, and the 1.2cm dorsal displacement indicates potential instability requiring careful management, according to the American College of Radiology 1

The significant displacement (1.2cm) indicates potential instability and may require surgical intervention rather than conservative management, as recommended by the American College of Radiology 1, 2
Radiographic evaluation with at least 3 views (posteroanterior, lateral, and 45° semipronated oblique) is standard for distal radius fractures, according to the American College of Radiology 2, 3
CT imaging may be warranted for better evaluation of the fracture pattern and displacement, particularly with intra-articular involvement, as suggested by the American College of Radiology 2, 3

Operative fixation is typically indicated for physeal fractures with >2mm of articular step-off to avoid long-term complications such as osteoarthritis, according to the American College of Radiology 2, 3
The associated ulnar styloid fracture may not require separate fixation, as studies have shown no significant difference in outcomes between treatment and non-treatment of ulnar styloid fractures when the radius fracture is properly managed, as reported by the American Academy of Orthopaedic Surgeons 4, 5

Radiographic follow-up is recommended at approximately 3 weeks and at the time of immobilization removal to confirm adequate healing, as suggested by Praxis Medical Insights 6
Active finger motion exercises should be performed following treatment to prevent stiffness, which is one of the most functionally disabling adverse effects of distal radius fractures, according to Praxis Medical Insights 6, 1