Reverse Barton fracture

Case contributed by Frank Gaillard
Diagnosis certain


Fall on out streched hand.

Patient Data

Age: 70 years
Gender: Female

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. 

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