Answer for BIR CoW 31 Mar 2024
Reverse Barton's Fracture
Findings
Intra articular anterior rim fracture of distal radius with volar displacement- suggestive of reverse Barton's fracture of left distal radius
Discussion
Anterior rim fracture of the distal radial articulating surface with associated anterior/volar displacement of the carpus .The usual mechanism is forceful flexion of the wrist to produce the anterior rim fracture. Also known as type II smith fracture.
Treatment : a) Non displaced: Immobilisation after closed reduction. b)Minimally comminuted: Closed reduction with k-wires. c)Displaced: Open reduction and internal fixation.
Reference:
Essentials of Skeletal Radiology (2 Volume Set) by Terry R. Yochum and Lindsay J. Rowe
Findings
Intra articular anterior rim fracture of distal radius with volar displacement- suggestive of reverse Barton's fracture of left distal radius
Discussion
Anterior rim fracture of the distal radial articulating surface with associated anterior/volar displacement of the carpus .The usual mechanism is forceful flexion of the wrist to produce the anterior rim fracture. Also known as type II smith fracture.
Treatment : a) Non displaced: Immobilisation after closed reduction. b)Minimally comminuted: Closed reduction with k-wires. c)Displaced: Open reduction and internal fixation.
Reference:
Essentials of Skeletal Radiology (2 Volume Set) by Terry R. Yochum and Lindsay J. Rowe
Note:
We do not discourage differential diagnosis. But all the differentials must satisfy the findings noted in the case.
If you feel you have answered rightly but cannot find your name in the above list, please call 09551942599.
Did you Know?
The order in which the names appear in this winner's list is based on the time of submission. The first person to send the correct answer gets his/her name on top of the list!
We do not discourage differential diagnosis. But all the differentials must satisfy the findings noted in the case.
If you feel you have answered rightly but cannot find your name in the above list, please call 09551942599.
Did you Know?
The order in which the names appear in this winner's list is based on the time of submission. The first person to send the correct answer gets his/her name on top of the list!