Barton's fracture: Difference between revisions
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*Often is fracture-dislocation or subluxation because carpus is displaced in direction of the fracture | *Often is fracture-dislocation or subluxation because carpus is displaced in direction of the fracture | ||
==Imaging== | ==Clinical Features== | ||
==Differential Diagnosis== | |||
{{Distal radius fracture DDX}} | |||
==Evaluation== | |||
===Imaging=== | |||
*PA | *PA | ||
**Comminuted fracture of distal radial metaphysis | **Comminuted fracture of distal radial metaphysis | ||
*Lateral | *Lateral | ||
**Intra-articular fracture of volar or dorsal rim of radius | **Intra-articular fracture of volar or dorsal rim of radius | ||
==Management== | ==Management== | ||
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**>50% of radial articular surface | **>50% of radial articular surface | ||
**Accompanying carpal subluxation | **Accompanying carpal subluxation | ||
==Disposition== | |||
==See Also== | ==See Also== | ||
Revision as of 05:45, 10 April 2017
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
Clinical Features
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 |
Evaluation
Imaging
- PA
- Comminuted fracture of distal radial metaphysis
- Lateral
- Intra-articular fracture of volar or dorsal rim of radius
Management
- Minimally displaced: sugar tong splint and ortho referral
- Unstable requires ORIF
- >50% of radial articular surface
- Accompanying carpal subluxation