Book contents
- Frontmatter
- Contents
- Acknowledgements
- Preface
- List of abbreviations
- Section I Musculoskeletal radiology
- Section II Trauma radiology
- ATLS – Advanced Trauma Life Support
- Acetabular fractures
- Aortic rupture
- Cervical spine injury
- Flail chest
- Haemothorax
- Open fractures
- Pelvic fracture
- Peri-physeal injury
- Pneumothorax
- Rib/sternal fracture
- Skull fracture
- Thoraco-lumbar spine fractures
- Acromioclavicular joint injury
- Carpal dislocation and instability
- Clavicular fractures
- Elbow injuries and distal humeral fractures
- Hand injuries – general principles
- Hand injuries – specific examples
- Thumb metacarpal fractures
- Humerus fracture – proximal fractures
- Humerus fracture – shaft fractures
- Humerus fracture – supracondylar fractures – paediatric
- Radius fracture – head of radius fractures
- Radius fracture – shaft fractures
- Galeazzi fracture dislocation
- Radius fracture – distal radial fractures
- Related wrist fractures
- Scaphoid fracture
- Scapular fracture
- Shoulder dislocation
- Ulna fracture – proximal and olecranon fractures
- Ulna fracture – shaft fractures
- Monteggia fracture dislocation
- Accessory ossicles of the foot
- Ankle fractures
- Bone bruising
- Calcaneal (Os calcis) fractures
- Femoral neck fracture
- Femoral shaft fracture
- Femoral supracondylar fracture
- Hip dislocation – traumatic
- Knee soft-tissue injury
- Metatarsal fractures – commonly fifth MT base
- Patella fracture
- Tibial-plateau fracture
- Tibial-shaft fractures
- Tibial-plafond (Pilon) fractures
- Talus fractures/dislocations
Related wrist fractures
from Section II - Trauma radiology
Published online by Cambridge University Press: 22 August 2009
- Frontmatter
- Contents
- Acknowledgements
- Preface
- List of abbreviations
- Section I Musculoskeletal radiology
- Section II Trauma radiology
- ATLS – Advanced Trauma Life Support
- Acetabular fractures
- Aortic rupture
- Cervical spine injury
- Flail chest
- Haemothorax
- Open fractures
- Pelvic fracture
- Peri-physeal injury
- Pneumothorax
- Rib/sternal fracture
- Skull fracture
- Thoraco-lumbar spine fractures
- Acromioclavicular joint injury
- Carpal dislocation and instability
- Clavicular fractures
- Elbow injuries and distal humeral fractures
- Hand injuries – general principles
- Hand injuries – specific examples
- Thumb metacarpal fractures
- Humerus fracture – proximal fractures
- Humerus fracture – shaft fractures
- Humerus fracture – supracondylar fractures – paediatric
- Radius fracture – head of radius fractures
- Radius fracture – shaft fractures
- Galeazzi fracture dislocation
- Radius fracture – distal radial fractures
- Related wrist fractures
- Scaphoid fracture
- Scapular fracture
- Shoulder dislocation
- Ulna fracture – proximal and olecranon fractures
- Ulna fracture – shaft fractures
- Monteggia fracture dislocation
- Accessory ossicles of the foot
- Ankle fractures
- Bone bruising
- Calcaneal (Os calcis) fractures
- Femoral neck fracture
- Femoral shaft fracture
- Femoral supracondylar fracture
- Hip dislocation – traumatic
- Knee soft-tissue injury
- Metatarsal fractures – commonly fifth MT base
- Patella fracture
- Tibial-plateau fracture
- Tibial-shaft fractures
- Tibial-plafond (Pilon) fractures
- Talus fractures/dislocations
Summary
Smith's fracture
Often described as a reverse Colles' fracture.
AP and lateral views essential as may appear similar to Colles' fracture if an AP view alone is examined.
Transverse fracture through the distal radius metaphysis with associated volar angulation and volar shift.
Look for median nerve symptoms.
Most Smith's fractures are treated with volar buttress plating and early mobilisation.
Barton's fracture
The fracture line is intra-articular and runs obliquely as compared to the transverse fracture seen in Smith's type.
Originally described as two types: dorsal and volar Barton's,
Today the label of ‘Barton's fracture’ tends to be reserved for a fracture involving the volar distal radius with subluxation of the wrist and distal radio-ulnar joint.
Tends to occur following high-velocity impact injuries.
AP and lateral views required. Carpal displacement best seen on the lateral views.
Treatment is with ORIF using volar buttress plating and early mobilisation.
Chauffeur's (Hutchinson) fracture
Intra-articular fracture of the radial styloid.
Usually secondary to a direct blow to the ulnar aspect of wrist.
Best seen on the AP view.
Treated with MUA and k-wire, percutaneous screw or ORIF.
Greenstick fracture
Incomplete metaphyseal fractures seen as disruption of the cortex on one side with angualtion or bowing on the opposite.
If angulated such that a clinical deformity exists this may require reduction and immobilisation; this depends on the child's age/remodelling potential and the surgeon's and parents' preferences. Most greenstick deformities will remodel but they take time and much parental anxiety can be avoided with a simple manipulation at the outset.
Physeal injuries – see Salter–Harris classification under peri-physeal injury
Salter–Harris II injuries of the distal radius are the juvenile Colles' fracture.
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- A-Z of Musculoskeletal and Trauma Radiology , pp. 269 - 271Publisher: Cambridge University PressPrint publication year: 2008