Treatment of injuries to the ulnar side of the wrist occurring with distal radial fractures.

We still do not know how to best treat the DRUJ condition that was recognized 200 years ago by Abraham Colles and later addressed in Frykman's classic thesis. To improve the outcome, we must recognize the differences be-tween osteoporotic and other fractures and understand the importance of ligament injuries,especially in patients under the osteoporotic age. However, our current problem is that neither the initial ligament injury nor the posttraumatic laxity is detectable with radiographic methods,which creates future challenges regarding diagnosis and treatment. We therefore have to critically analyze each fracture in each patient and be aware of the complexity of the entire injury to the wrist.