Bartonʼs Fractures

Surgical treatment of 35 volar Barton fractures

“…Although King did not report poor results, all of his patients had mild pain, loss of movement and dysfunction. De-Oliveira (1973) reported four fifths excellent or good results in patients treated by ORIF, and recently Mehara et al (1993) reported satisfactory results in nine tenths of their patients treated surgically, similar to our results. These good results can be attributed, in part, to the increased experience that has been gained using ORIF.…”

Fractures of the Dorsal Articular Margin of the Distal Part of the Radius with Dorsal Radiocarpal Subluxation

“…here is a paucity of published data regarding fractures of the dorsal articular margin of the distal part of the radius with dorsal radiocarpal subluxation 3,8,[17][18][19] . This may be due in part to the relatively low prevalence of fractures with these characteristics (estimated to be between 0.5% and 1.6% of all fractures of the distal part of the radius 17,19,20 ).…”

“…1 Currently, at least in North America, the eponym Barton fracture is used to refer to the more commonly encountered volar shearing fracture of the distal part of the radius [2][3][4][5][6][7] . Dorsal, or reverse, Barton fractures of the distal part of the radius have been discussed in book chapters and review articles, but very few case series have been pub-lished 3,8 . We describe the spectrum of associated injuries and the functional and radiographic results of treatment in a series of patients with a fracture of the dorsal articular margin of the distal part of the radius and dorsal radiocarpal subluxation.…”

Volar barton’s fractures with concomitant dorsal fracture in older patients

“…[2][3][4] The eponym Barton is used most commonly to refer to a fracture of the volar portion of the distal radial articular surface with an oblique metaphyseal fracture line. 3,[5][6][7] This fracture is considered among partial articular shearing type fractures because of the obliquity of the fracture line combined with the volar and proximal subluxation of the carpus along with the articular fracture fragment. 8,9 The outcome of volar plate fixation of volar Barton's fractures has been favorable in general 7-13 but some recent series identify a number of patients who experienced dorsal translation and angulation of the distal radius articular surface after volar plate fixation.…”