Smith fracture

Case contributed by Dr Alexandra Stanislavsky

Presentation

Motor vehicle accident.

Patient Data

Age: Young adult
Gender: Male
Modality: X-ray

Fractures through the palmar aspect of the distal radius (involving the articular surface) and the ulnar styloid are identified, with palmar subluxation of the carpus with respect to the forearm. 

Modality: CT

Single image from a CT of the wrist demonstrates the fracture to extend from the articular sufrace of the radiocarpal joint, down to the volar aspect of the distal radius. The carpus remains aligned to the fracture fragment, and is thus subluxed with respect to the intact part of the radius. 

Case Discussion

This case demonstrates a Smith (aka reverse Barton's) fracture, with radiocarpal subluxation. 

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Case Information

rID: 10687
Case created: 5th Sep 2010
Last edited: 26th Sep 2015
Tags: trauma, wrist
Inclusion in quiz mode: Included

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