|A palmar Barton's fracture of the right wrist, as shown on a 3D-rendered CT scan|
A Barton fracture is a type of wrist injury where there is a break of the front or back of the radius nearest the hand, resulting in the wrist being pushed out of place. It typically occurs after falling on on top of a bent wrist.
There exist two types of Barton's fracture – dorsal 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. Intra-articular component 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.
It is named after John Rhea Barton (1794–1871), an American surgeon who first described this in 1838.
Lateral projectional radiograph of the same fracture
- ↑ Martel, José; Bueno, Angel (2008). "Fractures with names". In Pope, Thomas; Bloem, Hans L.; Beltran, Javier; Morrison, William B.; John, David (eds.). Musculoskeletal Imaging (2nd ed.). Philadelphia: Elsevier. p. 1232.e2. ISBN 978-1-4557-0813-0. Archived from the original on 2022-09-20. Retrieved 2022-09-11.
- ↑ "Barton Fracture: Symptoms, Causes & Treatment". Cleveland Clinic. 27 December 2021. Archived from the original on 20 September 2022. Retrieved 12 September 2022.
- ↑ "Dorsal Barton's Fracture / Dorsal Shearing Frx – Wheeless' Textbook of Orthopaedics". Archived from the original on 2020-11-26. Retrieved 2021-08-30.
- ↑ Hunter, Tim B.; Peltier, Leonard F.; Lund, Pamela J. (1 May 2000). "Radiologic History Exhibit". RadioGraphics. pp. 819–836. doi:10.1148/radiographics.20.3.g00ma20819. Archived from the original on 16 September 2022. Retrieved 16 September 2022.
- ↑ J. R. Barton. Views and treatment of an important injury of the wrist. Medical Examiner, Philadelphia, 1838, 1: 365–368.