- Dorsal-type Barton's is a fracture-dislocation of the dorsal rim of the radius. Dislocation of the radiocarpal joint is the hallmark of Barton's fractures. These are shear type fractures of the distal articular surface of the radius with translation of the distal radial fragment and the carpus. These fractures have a great tendency for redislocation and malunion. They usually require operative treatment.
- Pain and difficulty when trying to move the wrist.
- The wrist may appear deformed.
- If stable, consider sugar-tong splint with wrist in neutral position.
- If unstable or inadequately reduced, open reduction and internal fixation (ORIF).
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