Four-Corner Concept: CT-Based Assessment of Fracture Patterns in Distal Radius

P. R. G. Brink*, D. A. Rikli

*Corresponding author for this work

Research output: Contribution to journalArticleAcademicpeer-review


Operative treatment using plate fixation is an important adjunct in the treatment of distal radius fractures, although the evidence for its superiority over other modalities remains limited. We propose a new concept for fractures of the distal radius, based on the three-columnmodel of the distal radius, and on the expanding knowledge about the different fracture patterns obtained by evaluation of the distal radius by computed tomographic (CT) scan. All fracture types can be characterized by subdividing the wrist joint into four corners, each with its own characteristics in terms of mobility, stability, and transfer of forces in the intact distal radius. Recognition of the specific fracture types based on this four-corner concept enables a tailored approach to treatment.
Original languageEnglish
Pages (from-to)147-151
Number of pages5
JournalJournal of Wrist Surgery
Issue number2
Publication statusPublished - May 2016


  • distal radius fractures
  • intra-articular fractures

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