Barton's fracture

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Barton's fracture
ICD-10 S52.5
ICD-9 813.4-813.5

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Overview

A Barton's fracture is an intra-articular fracture of the distal radius with dislocation of the radiocarpal joint.

There exist two types of Barton's fracture - dorsal[1] and palmar, the latter being more common. The Barton's fracture is caused by a fall on an extended and pronated wrist increasing carpal compression force on the dorsal rim. Carpal displacement distinguishes this fracture from a Smith's or a Colles' fracture. Treatment of this fracture is usually done by open reduction and internal fixation with a plate and screws, but occasionally the fracture can be treated conservatively.

Eponym

It is named after John Rea Barton (1794-1871), an Irish surgeon who first described this in 1814.[2][3]

References

  1. http://www.wheelessonline.com/ortho/dorsal_bartons_fracture_dorsal_shearing_frx
  2. Template:WhoNamedIt
  3. J. R. Barton. Views and treatment of an important injury of the wrist. Medical Examiner, Philadelphia, 1838, 1: 365-368.

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