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Die-Punch Fracture

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Other Names

  • Die Punch Fracture

Background

  • Fracture of the distal Radius, specifically of the Lunate fossa at the articular surface of the distal radius
  • Named after the machining technique of shearing a shape, depression or hole in a material with a die implement or cutter used in the tool-and-die trade[1]

Pathophysiology

  • Typically occurs as the result of an axial or transverse load through the lunate into the radius

Risk Factors


Differential Diagnosis

Distal Radius Fractures

Differential Diagnosis Wrist Pain


Clinical Features


Evaluation

AP Radiogrpah of wrist showing distal radius fracture consistent with die punch fracture and ulna styloid fracture

Radiographs

CT scan

  • Important to evaluate intra-articular component

MRI

  • Evaluate for soft tissue injuries

Classification

  • N/A

Management

Nonoperative

Operative

  • Indications
    • Open
    • Unstable
    • Other?

Return to Play

  • Nonoperative will require at least 6 weeks
  • Surgically managed cases at the discretion of the surgeon

Complications


See Also


References

Created by:
John Kiel on 4 July 2019 07:02:10
Authors:
Last edited:
13 October 2022 21:39:19
Categories:
Trauma | Osteology | Wrist | Forearm | Upper Extremity | Fractures | Acute