11 ago. tratamento da fratura de Barton Volar e Dorsal. São fraturas intra articulares no terço distal do rádio que podem ser dorsal ou volar. Barton fractures are fractures of the distal radius. It is also sometimes termed the dorsal type Barton fracture to distinguish it from the volar type or reverse Barton. Fraturas do rádio distal (Fratura de Colles) . patients over 40 years old, except for cases of fractures caused by avulsion and Barton’s fracture.

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A die-punch fracture is a depression fracture of the lunate fossa of the distal radius.

These are shear type fractures of the distal articular surface of the radius with translation of the distal radial fragment and the carpus. Notice that you can easily overlook such a fracture.

This classification is popular, since it addresses the mechanism of injury and the consequent treatment options. What is the next best step in management of this patient? She underwent open reduction and d of the distal radius fracture, and current radiographs are shown in Figure B.

Even in a cast the volar fragment will show progressive displacement at follow-up and a volar buttress plate is needed to hold the volar rim in place. Dislocation of the radiocarpal joint is the hallmark of Barton’s fractures. There are many ways to describe distal radial fractures and there are several classification systems. There were no significant differences in complications between conservative and surgical interventions.

Fratura de Barton

It was concluded that there was not enough evidence to decide which conservative treatment method was more appropriate for each type of fracture of the distal radius. Ultimately less stiffness and greater function is possible. Intraarticular fractures either involve the radiocarpal joint, distal radioulnar joint, or both.

Symptoms of Bennett fracture are instability of the CMC joint of the thumb, accompanied by pain and weakness of the pinch grasp. Although Colles’ fracture is a common clinical situation for the orthopedist, we did not find ds the literature bagton that would allow safe decision-making regarding the best treatment for each fracture type. If the alignment of the bones is not acceptable, they need to be reduced by closed or open reduction. L8 – 10 years in practice.


Following fixation, a “shuck” test is performed and shows persistent instability of the distal radioulnar joint. On the left a patient with a dorsal Barton’s fracture shown before. On the left an intraarticular fracture of the distal radius with shortening of the radius.

Trimalleolar fracture Bimalleolar fracture Pott’s fracture. In the case of the Bennett fracture, the proximal metacarpal fragment remains attached to the anterior oblique ligamentwhich in turn is attached to the tubercle of the trapezium bone of the CMC joint. The most frequent complications were impairment of joint mobility and residual pain. The Bennett fracture is an oblique intraarticular metacarpal fracture dislocation, caused by an axial force directed against the partially flexed metacarpal.

Cervical fracture Jefferson fracture Hangman’s fracture Flexion teardrop fracture Clay-shoveler fracture Burst fracture Compression fracture Chance fracture Holdsworth fracture. Indications for Reduction in Distal Radius Fractures Many authors suggest that distal radial fractures be reduced anatomically, but the real question is ‘what is acceptable and what is not?

Volar buttress plate Barton’s fractures are rarely successfully treated with closed reduction due to the shearing nature of xe injury. The cast is usually maintained for about 6 weeks.

Fratura de Barton – Wikipédia, a enciclopédia livre

The Barton’s fracture is caused by a fall on an extended and pronated wrist increasing carpal compression force narton the dorsal rim. Complications associated with plating include tendon irritation or rupture and the need for plate removal. Configuration Always mention whether the fracture is transverse good prognosisoblique or comminuted multifragmented.


Unlike the proximal fracture fragment, strong ligaments and muscle tendons of the hand tend to pull this fragment out of its correct anatomical position. A Colles’ fracture is a fracture of the distal metaphysis of the radius with dorsal angulation and displacement leading to a ‘silver fork deformity’. Associated traumatic lesions are ligamentous rupture, nerve compression and compartment syndrome.

During bafton recovery from this injury, what benefit does formal physical therapy have as compared to a patient-guided home exercise program? HPI – A year-old female presents pain and swelling in the wrist and forearm after a ground-level fall 7 days ago.

Fratura de Bennett – Wikipédia, a enciclopédia livre

These fractures have a great tendency for redislocation and malunion. On the left a patient with a communitive intraarticular fracture of the distal radius with displacement of the volar rim of the radius together with the carpus i.

On physical exam she has no sensation of the volar thumb, index, and middle fingers. Trimalleolar fracture Bimalleolar fracture Pott’s fracture. A fracture with an offset of 2 mm or more in any plane or 2 mm offset involving the articular surface is considered displaced.

Ulnar styloid process fracture An ulnar styloid process fracture is usually associated with radial fractures and rarely isolated. Extension into the radiocarpal joint and the distal radioulnar joint Displacement of the articular fragments blue arrow Radial shortening and loss of radial inclination resulting in distal ulna abutting the lunate yellow arrow Fracture of ulnar styloid Just calling this fracture a Colles’ fracture would be insufficient.

On the left a subtle fracture of the tip of the ulnar styloid process blue arrow in a patient with a volar Barton’s fracture. Comminution or osteoporotic bone make external fixation the preferred surgical treatment option.