Barton's fracture

Barton's fracture
A palmar Barton's fracture of the right wrist, as shown on a 3D-rendered CT scan
SpecialtyOrthopedic

A Barton's fracture is a type of wrist injury where there is a broken bone associated with a dislocated bone in the wrist, typically occurring after falling on top of a bent wrist.[1] It is an intra-articular fracture of the distal radius with dislocation of the radiocarpal joint.[2]

There exist two types of Barton's fracture – dorsal[3] and palmar, the latter being more common. The Barton's fracture is caused by a fall on an extended and pronated wrist increasing carpal compression force on the dorsal rim. Intra-articular component distinguishes this fracture from a Smith's or a Colles' fracture. Treatment of this fracture is usually done by open reduction and internal fixation with a plate and screws, but occasionally the fracture can be treated conservatively.[4]

  1. ^ "Barton Fracture: Symptoms, Causes & Treatment". Cleveland Clinic. 27 December 2021. Retrieved 12 September 2022.
  2. ^ Martel, José; Bueno, Angel (2008). "Fractures with names". In Pope, Thomas; Bloem, Hans L.; Beltran, Javier; Morrison, William B.; John, David (eds.). Musculoskeletal Imaging (2nd ed.). Philadelphia: Elsevier. p. 1232.e2. ISBN 978-1-4557-0813-0.
  3. ^ Dorsal Barton's Fracture / Dorsal Shearing Frx – Wheeless' Textbook of Orthopaedics
  4. ^ Szymanski, Joel A.; Reeves, Russell A.; Taqi, Muhammad; Carter, Kevin R. (May 30, 2023). "Barton's Fracture". StatPearls Publishing. PMID 29763081. Retrieved November 14, 2023.