Barton's fracture

Revision as of 17:01, 27 March 2018 by Rossdonaldson1 (talk | contribs) (Admit for)


  • 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


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


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


  • Minimally displaced: sugar tong splint and ortho referral
  • Unstable requires ORIF
    • >50% of radial articular surface
    • Accompanying carpal subluxation


  • Can be managed as outpatient


See Also