Barton's fracture: Difference between revisions
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==Management== | ==Management== | ||
*Minimally displaced: sugar tong splint and ortho referral | *Minimally displaced: [[sugar tong splint]] and ortho referral | ||
*Unstable requires ORIF | *Unstable requires ORIF | ||
**>50% of radial articular surface | **>50% of radial articular surface | ||
Revision as of 10:31, 6 November 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