Smith fracture

Case contributed by Bahman Rasuli
Diagnosis certain


Fall onto a flexed wrist.

Patient Data

Age: 80 years
Gender: Male

There are fractures of the left distal radius with significant shortening and volar angulation of the distal fracture fragments associated with edema and swelling of the overlying soft tissues.

Degenerative changes as subchondral sclerosis and cystic changes are seen at the wrist bones proximal and distal rows.

Diastasis also is seen at distal radioulnar joint.

Case Discussion

This case demonstrates a Smith (a.k.a. reverse Barton's) fracture, with volar angulation. Smith fractures tend to be more unstable than Colles fractures.

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