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Case: Reverse Barton Fracture

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Let's look at a companion case for someone

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who also fell on outstretched hand with wrist pain.

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So in this case here we have our three projections,

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and if we look carefully at the distal radius,

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we now see a lucency on the ulnar aspect

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of the distal radius that's close

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to the distal radial ulnar joint.

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This fracture line does go intraarticular

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into the radiocarpal articulation,

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specifically at the radio lunate level.

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And if we look even further, there appears

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to be a step off which we may want to characterize better

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with CT for actual degree of step off.

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We can also appreciate the step off here

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on the oblique projection.

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Lateral projection is not well positioned,

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so it's gonna be difficult to ascertain the relationship

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of the carpal bones

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and so compared to the previous case, this represents a case

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of an intraarticular fracture

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or a Barton type distal radius fracture.

Report

Faculty

John A Carrino, MD, MPH

Vice-Chairman, Radiology and Imaging

Hospital for Special Surgery

Tags

X-Ray (Plain Films)

Trauma

Musculoskeletal (MSK)

Hand & Wrist

Emergency