Barton's fracture: Difference between revisions

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==Management==
==Management==
{{General Fracture Management}}
===Immobilization===
*Minimally displaced: [[sugar tong splint]] and ortho referral
*Minimally displaced: [[sugar tong splint]] and ortho referral
==Disposition==
*Can be managed as outpatient
===Admit===
*[[Open fracture]]
*Signs of neurovascular injury
*Concern for [[compartment syndrome]]
===Specialty Care===
*Unstable requires ORIF
*Unstable requires ORIF
**>50% of radial articular surface
**>50% of radial articular surface
**Accompanying carpal subluxation
**Accompanying carpal subluxation
==Disposition==
*Can be managed as outpatient
*Admit for:
**Open fracture
**Signs of neurovascular injury
**Concern for compartment syndrome


==See Also==
==See Also==
*[[Distal radius fractures]]
*[[Distal radius fractures]]
*http://www.orthobullets.com/trauma/1027/distal-radius-fractures
*http://www.orthobullets.com/trauma/1027/distal-radius-fractures
==References==
==References==
<references/>
<references/>
[[Category:Orthopedics]]
[[Category:Orthopedics]]

Latest revision as of 04:29, 18 September 2019

Background

  • Fracture-dislocation of distal radius extending into radiocarpal joint
  • Two types: volar and dorsal (based on direction of dislocation)

Clinical Features

  • Wrist pain, usually after FOOSH injury

Differential Diagnosis

Distal radius fractures

Distal radius fracture eponyms

Eponyms Description
Barton's Fracture-dislocation of radiocarpal joint (with intra-articular fracture involving the volar or dorsal lip)
Chauffer's Fracture of radial styloid
Colles' Dorsally displaced, extra-articular fracture
Die-punch Depressed fracture of the lunate fossa (articular surface)
Smith's Volar displaced, extra-articular fracture

Evaluation

  • Assess for distal pulse, motor, and sensation
  • Inspect skin for signs of open fracture

Imaging

Volar Barton's fracture
  • PA
    • Comminuted fracture of distal radial metaphysis
  • Lateral
    • Intra-articular fracture of volar or dorsal rim of radius

Management

General Fracture Management

Immobilization

Disposition

  • Can be managed as outpatient

Admit

Specialty Care

  • Unstable requires ORIF
    • >50% of radial articular surface
    • Accompanying carpal subluxation

See Also

References