Barton's fracture: Difference between revisions
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==Background== | ==Background== | ||
*Dorsal or volar rim fracture of the distal radius | *Dorsal or volar rim fracture of the distal radius | ||
*Often is fracture-dislocation or subluxation because carpus is displaced in direction of the | *Often is fracture-dislocation or subluxation because carpus is displaced in direction of the fracture | ||
==Imaging== | ==Imaging== |
Revision as of 20:16, 29 March 2015
Background
- Dorsal or volar rim fracture of the distal radius
- Often is fracture-dislocation or subluxation because carpus is displaced in direction of the fracture
Imaging
- PA
- Comminuted fracture of distal radial metaphysis
- Lateral
- Intra-articular fracture of volar or dorsal rim of radius
Differential Diagnosis
Distal radius fractures
- Colles' fracture
- Smith's fracture
- Barton's fracture
- Radial styloid fracture
- Distal radioulnar joint disruption
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 |
Management
- Minimally displaced: sugar tong splint and ortho referral
- Unstable requires ORIF
- >50% of radial articular surface
- Accompanying carpal subluxation
See Also
Source
- Tintinalli