$barton vs colles fracture$

#BARTON VS COLLES FRACTURE SERIES#

Chauffer's fracture was described as originally occurring due to backfire of the car starter handles in older models. Reverse Barton's occurs with wrist in palmar-flexion and involves the volar lip. Barton's fracture is the displaced intra-articular coronal plane fracture-subluxation of dorsal lip of the distal radius with displacement of carpus with the fragment. Smith's fractures, also referred to as reverse Colles’ fracture, have palmar tilt of the distal fragment. Colles’ fracture specifically is defined as metaphyseal injury of cortico-cancellous junction (within 2−3 cm of articular surface) of the distal radius with characteristic dorsal tilt, dorsal shift, radial tilt, radial shift, supination and impaction. Abraham Colles is credited with description of the most common fracture pattern affecting distal end radius in 1814, and is classically named after him. They make up 8%−15% of all bony injuries in adults. >10 degrees dorsal angulation >5 mm shortening significant comminution) 1.Distal radius fractures are one of the most common injuries encountered in orthopedic practice. Open reduction and internal fixation (ORIF) is considered when the fracture is unstable, and/or unsatisfactory closed reduction is achieved (i.e. The cast extends from below the elbow to the metacarpal heads and holds the wrist somewhat flexed and in ulnar deviation 4 - for those of you familiar with Australian rules football this position is reminiscent of the position adopted when holding a ball in preparation for a kick. The vast majority of Colles fractures can be treated with closed reduction and cast immobilisation. Location of the medial fracture line: does it involve the radioulnar joint In addition to noting the presence of a fracture a number of features should be sought and commented upon: An associated ulnar styloid fracture is present in up to 50% of cases.Ī pronator quadratus sign is generally seen. If dorsal angulation is severe enough, a dinner fork deformity may be described.There is also usually impaction with resultant shortening of the radius. Dorsal angulation of the distal fracture fragment is present to a variable degree (as opposed to volar angulation of a Smith fracture). The fracture appears extra-articular and usually proximal to the radioulnar joint.

#BARTON VS COLLES FRACTURE SERIES#

The plain radiographic series often comprises an AP and a lateral view however, it is not uncommon for an oblique view to be included.

$barton vs colles fracture$

Plain films usually suffice, although if there is a concern of intra-articular extension, then CT may be beneficial. As such, in clinical practice, the use of the term Colles fracture with an appropriate description of any associated injuries is sufficient in most instances. One of the more popular is the Frykman classification system, although it fails to distinguish between Smith and Colles fractures as it is based on AP radiographs 2,3. Radiographic featuresĪ number of classification systems exist for distal forearm fractures. Most fractures are therefore dorsally angulated and impacted. The proximal row of the carpus (particularly the lunate and scaphoid) transfers energy to the distal radius, both in the dorsal direction and along the long axis of the radius. Most Colles fractures are secondary to a fall on an outstretched hand (FOOSH) with a pronated forearm in wrist extension (the position one adopts when trying to break a forward fall).

$barton vs colles fracture$

Barton vs colles fracture