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 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.
- ^ Dorsal Barton's Fracture / Dorsal Shearing Frx - Wheeless' Textbook of Orthopaedics
- ^ synd/2821 at Who Named It?
- ^ J. R. Barton. Views and treatment of an important injury of the wrist. Medical Examiner, Philadelphia, 1838, 1: 365-368.
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