The goal of treatment in distal radius fracture is to restore the anatomy of the distal radius, however the criteria currently used to evaluate the quality of reduction are based on Western based published figures. This goal of this study was to investigate whether there are variations in the morphology of the distal radius among the multiracial population of Malaysia. Consecutive normal wrist radiographs of patients who presented to the accident and emergency unit in three major hospitals in Malaysia were measured. . The palmar tilt of the distal radius averaged 12.6o ± 3.55o, and the radial inclination averaged 25.1o ± 3.42o. The ulnar variance averaged -0.1 ± 1.31mm, 38.4% of the patients had neutral ulnar variance, 28.8% have negative ulnar variance and 32.9% have positive ulnar variance. Our results indicate that distal radius morphometric parameters in the Malaysian population are comparable to Western figures.

The developmental anomalies can be in the form of mild alteration in shape of crown or root such as development of an extra supernumerary cusp in both primary and permanent dentition. Such developmental disturbances are rare in permanent dentition. Parastyle is one common form of accessory cusp of permanent mandibular molar. Though its presence is not an alarming condition, it is of great importance in medicolegal cases. We herein report a case of parastyle on permanent maxillary second molar, its development, classifi cation, histopathological appearance and its clinical implications.