Barton's fracture: Difference between revisions
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==Evaluation== | ==Evaluation== | ||
*Assess for distal pulse, motor, and sensation | |||
*Inspect skin for signs of open fracture | |||
===Imaging=== | ===Imaging=== | ||
[[File:Radiograph_of_Barton's_fracture.jpg|thumb|Volar Barton's fracture]] | [[File:Radiograph_of_Barton's_fracture.jpg|thumb|Volar Barton's fracture]] | ||
Revision as of 18:16, 14 March 2018
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
- 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
- Assess for distal pulse, motor, and sensation
- Inspect skin for signs of open fracture
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
Disposition
- Can be managed as outpatient
- Admit for:
- Open fracture
- Signs of neurovascular injury
- Concern for compartment syndrome