Distal radius fractures are the most common fracture in orthopaedic practice, ranging from straightforward extra-articular patterns to complex articular injuries. Master the essential anatomy, eponymous classificationsand the volar locking plate techniques that define modern orthopaedic management. ⏱ Chapters 0:00 Intro 0:19 Essentials 0:58 Classification 1:30 Ao Classification 1:57 Vri 2:27 Radius 2:59 Algorithm 3:41 Numbers 4:14 Clinical reasoning — Manage 4:54 Clinical reasoning — Pearls This in-depth masterclass provides a comprehensive framework for understanding, evaluatingand treating distal radius fractures. We cover the bimodal demographics, critical radiographic parametersand the RADIUS instability mnemonic to guide your surgical decision-making. From the AO/OTA classification system to the biomechanics of Colles, Smithand Barton fractures, this video delivers the essential knowledge needed for anatomical reduction and optimising patient outcomes. 🦴 IN THIS VIDEO YOU'LL LEARN • How to identify normal radiographic parameters using the VRI mnemonic (volar tilt, radial inclination, index of radial length) • The key differences between Colles, Smith, Bartonand Chauffeur's fracture patterns • How to apply the AO/OTA (2R3) classification system to grade extra-articular and intra-articular injuries • How to systematically identify fractures at risk of cast failure using the RADIUS instability criteria • The surgical indications and the role of volar locking plates as the gold standard for unstable fractures • How to recognise and manage high-risk patterns like the die-punch lunate facet depression and shear injuries • The prognostic significance of radiocarpal incongruity and its link to post-traumatic arthritis • How to assess the distal radioulnar joint (DRUJ) for associated instability after fixation • The mechanisms and appropriate interventions for critical complications like acute carpal tunnel syndrome and EPL rupture ⏱️ CHAPTERS 📌 KEY TAKEAWAYS ✔️ Stability dictates management: use the RADIUS criteria to determine if a fracture will fail in a cast. ✔️ Intra-articular step-offs over 2mm significantly drive the risk of post-traumatic arthritis. ✔️ Volar locking plates via the flexor carpi radialis approach are the gold standard for unstable fractures. ✔️ Barton fractures are true shear injuries requiring a buttress plate, as they will displace in a cast. ✔️ Always evaluate for acute carpal tunnel syndrome, as median nerve compression may require urgent release. ✔️ Even congruent joint reductions carry an 11% risk of arthritis, highlighting the importance of anatomical restoration. 👩⚕️ WHO THIS IS FOR This masterclass is designed for orthopaedic trainees, junior doctorsand medical students seeking a comprehensive understanding of wrist trauma. Clinicians managing emergency presentations and curious patients looking for detailed, highly technical information on distal radius fracture management will also find it highly valuable. 📚 RELATED TOPICS: Volar Locking Plate (VLP) Surgical Techniques and Complications · Distal Radioulnar Joint (DRUJ) Instability and TFCC Injuries · Acute Carpal Tunnel Syndrome and Wrist Compartment Syndrome · Scaphoid Fractures and Carpal Bone Injury Assessment · Frykman Classification for Distal Radius Fractures · Extensor Pollicis Longus (EPL) Tendon Rupture and Reconstruction 🔗 More free orthopaedic teaching at Orthovellum.com — subscribe for weekly videos. 🎨 CREDITS • Original Orthovellum production. ⚠️ DISCLAIMER: Educational only — not individual medical advice. Always consult a qualified clinician for diagnosis and treatment. #orthopaedics #distalradiusfracture #orthovellum #traumasurgery #wristfracture #collesfracture #volarlockingplate #orthopaedicsurgery #fracturefixation #handdurgery #medicalstudent #orthoteaching #orthopaedictrauma #aota #bonetrauma