Presentation
Motor vehicle accident.
Patient Data
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.
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.