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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Thank you for rating! Please vote below and help us build the most advanced adaptive learning platform in medicine. She complains of wrist pain bartno deformity. On physical exam she has no sensation of the volar thumb, index, and middle fingers.
Radiographs are provided in Figure A. Two hours following closed reduction, the deformity is corrected, but the numbness and wrist pain is worsening. Which of the following interventions should be taken? The injury is closed and she is neurovascularly intact.
There is no median nerve paresthesias.
Radiographs are shown in Figures A and B. What is the next best step in management of this patient? Which of the following factors has been associated with redisplacement of the fracture after closed manipulation? Radiographs of the affected wrist are shown in Figure A.
After soft tissue swelling subsides, open reduction and internal fixation of the distal radius is performed. Following fixation, a “shuck” test is performed and shows persistent instability of the distal radioulnar joint.
Incompetence of which of the following anatomic structures is the most likely etiology of this finding? Three months after the fracture she reports an acute loss of her ability to fraura her thumb. What is the most likely etiology of her new loss of function?
He sustains the injury shown in Figure A.
The patient undergoes open reduction and internal fixation of the fracture. Upon discharge from the hospital the medication reconciliation includes an order for daily Vitamin C mg supplementation. This medication is given in an effort to decrease the incidence of which of the following?
He undergoes fratur treatment of his fracture, and immediate post-op radiographs are shown in Figure C. Two weeks later he presents with significantly increased pain and deformity.
He denies any new trauma, and has followed all post-operative activity restrictions. Current radiographs are shown in Figure D and a clinical photograph of the affected wrist is shown in Figure E. Which of the following is the narton likely cause for failure of fixation in this patient? During postoperative recovery from this injury, what benefit does formal physical therapy have as compared to fratra patient-guided home exercise program?
What is the most appropriate treatment at this time? She presents 11 months later with the radiograph seen in Figure A, complaining of significant wrist pain. What is the fratur surgical treatment frstura this time? Radiographs obtained at the time of injury are shown in Figure A. She underwent open reduction and fixation of the distal radius fracture, and current radiographs are shown in Figure B. At the time of the index operation, there was no distal radioulnar joint instability after plating of the radius.
Which of the following is true post-operatively regarding this patient’s ulnar styloid fracture? Chronic distal radioulnar joint instability can be expected to occur without fixation.
Fractures of the distal radius (Colles’ fracture)
Wrist function depends on the level of ulnar styloid fracture and initial displacement. There are no open wounds and the hand is neurovascularly intact. Radiographs are provided in Figures A-C. Which of the following will best achieve anatomic reduction, restore function, and prevent future degenerative changes of the wrist? Preoperatively, he reported some mild sensory disturbances in the volar thumb and index finger, but had 2-point discrimination of 6mm in each finger.
Now, he complains of worsening hand pain and sensory disturbances in his volar thumb and index finger. Radiographs show a well-fixed fracture in good alignment. Adequate maintenance of reduction by non-operative treatment is unsuccesful. Which plating option provides the most appropriate treatment of this fracture? HPI – A year-old female presents with pain and swelling in the wrist and forearm after a ground-level fall 2 days ago.
She was initially treated with closed reduction and cast immobilization. Radiographs are shown before and after reduction. How would you treat this fracture based on the post-reduction radiographs?
HPI – A year-old female presents pain and swelling in the wrist and forearm after a ground-level fall 7 days ago. HPI – History of fall down on left wrist one month ago. The patient is neurovascular intact. The fracture was an open fracture type 1 with a small wound on the volar aspect of the distal ulna. At the time of the injury, this was treated operatively with irrigation and debridement and placement of an ex-fix spanning the fractures.
Currently, the wound has healed.
Barton fracture | Radiology Case |
There is no sign of infection. How would you manage this patient at this time? Please vote below and help us build the most advanced adaptive learning platform in medicine The complexity of this topic is appropriate for? L6 – years in practice. L7 – years in practice. L8 – 10 years in practice.
How important is this topic for board examinations? How important is this topic for clinical practice? Core Tested Community All.
Please login to add comment. A depressed fracture of the lunate fossa of the articular surface of the distal radius. Fx dislocation of radiocarpal joint with intra-articular fx involving the volar or dorsal lip volar Barton or dorsal Barton fx. Low energy, dorsally displaced, extra-articular fx. Low energy, volar displaced, extra-articular fx. Closed reduction and cast immobilization.