Barton's fracture - Revision history

Rossdonaldson1 at 04:29, 18 September 2019

2019-09-18T04:29:12Z

← Older revision		Revision as of 04:29, 18 September 2019
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	===Immobilization===		===Immobilization===
	*Minimally displaced: [[sugar tong splint]] and ortho referral		*Minimally displaced: [[sugar tong splint]] and ortho referral
	*Unstable requires ORIF
	**>50% of radial articular surface
	**Accompanying carpal subluxation

	==Disposition==		==Disposition==
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	*Signs of neurovascular injury		*Signs of neurovascular injury
	*Concern for [[compartment syndrome]]		*Concern for [[compartment syndrome]]

			===Specialty Care===
			*Unstable requires ORIF
			**>50% of radial articular surface
			**Accompanying carpal subluxation

	==See Also==		==See Also==
	*[[Distal radius fractures]]		*[[Distal radius fractures]]
	*http://www.orthobullets.com/trauma/1027/distal-radius-fractures		*http://www.orthobullets.com/trauma/1027/distal-radius-fractures

	==References==		==References==
	<references/>		<references/>
	[[Category:Orthopedics]]		[[Category:Orthopedics]]

2019-09-18T04:28:03Z

Management

← Older revision		Revision as of 04:28, 18 September 2019
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	==Management==		==Management==
			{{General Fracture Management}}

			===Immobilization===
	*Minimally displaced: [[sugar tong splint]] and ortho referral		*Minimally displaced: [[sugar tong splint]] and ortho referral
	*Unstable requires ORIF		*Unstable requires ORIF

2018-03-27T17:01:38Z

Admit for

← Older revision		Revision as of 17:01, 27 March 2018
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	*Can be managed as outpatient		*Can be managed as outpatient

	===Admit ~~for~~===		===Admit===
	*[[Open fracture]]		*[[Open fracture]]
	*Signs of neurovascular injury		*Signs of neurovascular injury

2018-03-27T17:01:22Z

Disposition

← Older revision		Revision as of 17:01, 27 March 2018
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	==Disposition==		==Disposition==
	*Can be managed as outpatient		*Can be managed as outpatient
	*Admit for:
	**Open fracture		===Admit for===
	**Signs of neurovascular injury		*[[Open fracture]]
	**Concern for compartment syndrome		*Signs of neurovascular injury
			*Concern for [[compartment syndrome]]

	==See Also==		==See Also==

2018-03-14T18:16:09Z

← Older revision		Revision as of 18:16, 14 March 2018
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	==Evaluation==		==Evaluation==
			*Assess for distal pulse, motor, and sensation
			*Inspect skin for signs of open fracture
	===Imaging===		===Imaging===
	[[File:Radiograph_of_Barton's_fracture.jpg\|thumb\|Volar Barton's fracture]]		[[File:Radiograph_of_Barton's_fracture.jpg\|thumb\|Volar Barton's fracture]]

2018-03-14T18:14:58Z

← Older revision		Revision as of 18:14, 14 March 2018
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	==Disposition==		==Disposition==
			*Can be managed as outpatient
			*Admit for:
			**Open fracture
			**Signs of neurovascular injury
			**Concern for compartment syndrome

	==See Also==		==See Also==

2017-04-27T09:15:05Z

← Older revision		Revision as of 09:15, 27 April 2017
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	==Evaluation==		==Evaluation==
	===Imaging===		===Imaging===
	[[File:Radiograph_of_Barton's_fracture.jpg\|thumb\|Volar Barton's fx]]		[[File:Radiograph_of_Barton's_fracture.jpg\|thumb\|Volar Barton's fracture]]
	*PA		*PA
	**Comminuted fracture of distal radial metaphysis		**Comminuted fracture of distal radial metaphysis

2017-04-25T21:45:06Z

← Older revision		Revision as of 21:45, 25 April 2017
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	*Fracture-dislocation of distal radius extending into radiocarpal joint		*Fracture-dislocation of distal radius extending into radiocarpal joint
	*Two types: volar and dorsal (based on direction of dislocation)		*Two types: volar and dorsal (based on direction of dislocation)
	~~<gallery>~~
	~~File:Radiograph_of_Barton's_fracture.jpg\|Volar Barton's fx~~
	~~</gallery>~~
	==Clinical Features==		==Clinical Features==
	*Wrist pain, usually after FOOSH injury		*Wrist pain, usually after FOOSH injury
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	==Evaluation==		==Evaluation==
	===Imaging===		===Imaging===
			[[File:Radiograph_of_Barton's_fracture.jpg\|thumb\|Volar Barton's fx]]
	*PA		*PA
	**Comminuted fracture of distal radial metaphysis		**Comminuted fracture of distal radial metaphysis

2017-04-10T08:45:06Z

← Older revision		Revision as of 08:45, 10 April 2017
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	==Background==		==Background==
	*~~Dorsal or volar rim fracture~~ of ~~the~~ distal radius		*Fracture-dislocation of distal radius extending into radiocarpal joint
	*~~Often is fracture-dislocation or subluxation because carpus is displaced in~~ direction of ~~the fracture~~		*Two types: volar and dorsal (based on direction of dislocation)
			<gallery>
			File:Radiograph_of_Barton's_fracture.jpg\|Volar Barton's fx
			</gallery>
	==Clinical Features==		==Clinical Features==
			*Wrist pain, usually after FOOSH injury

	==Differential Diagnosis==		==Differential Diagnosis==
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	==See Also==		==See Also==
	*[[Distal radius fractures]]		*[[Distal radius fractures]]
			*http://www.orthobullets.com/trauma/1027/distal-radius-fractures
	==References==		==References==
	<references/>		<references/>


	[[Category:Orthopedics]]		[[Category:Orthopedics]]

2017-04-10T05:45:48Z

← Older revision		Revision as of 05:45, 10 April 2017
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	*Often is fracture-dislocation or subluxation because carpus is displaced in direction of the fracture		*Often is fracture-dislocation or subluxation because carpus is displaced in direction of the fracture

	==Imaging==		==Clinical Features==

			==Differential Diagnosis==
			{{Distal radius fracture DDX}}

			==Evaluation==
			===Imaging===
	*PA		*PA
	**Comminuted fracture of distal radial metaphysis		**Comminuted fracture of distal radial metaphysis
	*Lateral		*Lateral
	**Intra-articular fracture of volar or dorsal rim of radius		**Intra-articular fracture of volar or dorsal rim of radius

	~~==Differential Diagnosis==~~
	~~{{Distal radius fracture DDX}}~~

	==Management==		==Management==
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	**>50% of radial articular surface		**>50% of radial articular surface
	**Accompanying carpal subluxation		**Accompanying carpal subluxation

			==Disposition==

	==See Also==		==See Also==