Presentation
Fall on out streched hand.
Patient Data
Age: 70 years
Gender: Female
From the case:
Reverse Barton fracture
{"current_user":null,"step_through_annotations":true,"access":{"can_edit":false,"can_download":true,"can_toggle_annotations":true,"can_feature":false,"can_examine_pipeline_reports":false,"can_pin":false},"extraPropsURL":"/studies/24049/annotated_viewer_json?iframe=true\u0026lang=us"}
3 views of the right wrist are being obtained demonstrating an intra-articular fracture through the palmar aspect of the distal radius with dorsal subluxation of the radius and ulna with respect to the carpus (reversed Barton fracture). A further fracture is noted of the ulnar styloid. Degenerative change is seen involving the carpus, particularly at the base of the thumb.
Case Discussion
A reverse Barton fracture (also known as volar type Barton fracture) represents an intra-articular distal radial fracture with volar displacement. In fact, the reverse Barton fracture is a type II Smith fracture: intra-articular oblique distal radial fracture.