FRATURA DE BARTON PDF
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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D ICD – On the left an extraarticular Smith’s fracture bargon palmar and radial angulation and displacement. The radiographic findings are the following: This positioning will make the lateral view exactly perpendicular to the PA view.
Rib fracture Sternal fracture. Positioning PA view should be taken with the wrist and elbow at shoulder height.
The patient will often manifest a weakened ability to grasp objects or perform such tasks as tying shoes and tearing a piece of paper. Scroll through the images and notice how well CT demonstrates the fracture components and the displacement.
This results in malfunction and early osteoarthritis.
Fratura de Bennett
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. Closed Reduction The initial treatment for most radius fractures is closed reduction and plaster immobilization.
Because children have softer bones, one side of the bone may buckle. Risks specific to cast treatment relate to the potential for compression of the swollen arm causing compartment syndrome or carpal tunnel syndrome. Instability Instability is defined as a high risk of secondary displacement after initial adequate reduction.
Torus fracture Torus fractures, or buckle fractures, are extremely common injuries in children. In addition to the dorsal angulation seen fatura the lateral view, notice the following:.
Given the results from the present study and the best evidence from the literature, we conclude that there is no scientific evidence powerful enough to allow definitive conclusions concerning the main aspects of managing distal radius fractures. What is the most likely etiology of her new loss of function? We found in the literature a great number of papers on the several bartob and methods for treating these fractures, but without any definitions regarding the best treatment option for each fracture type.
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.
He sustains the injury shown in Figure Frautra. When these epomyms are used, an accurate description of the fracture characteristics should always be included in the report 5.
Comminuted intraarticular fracture of the distal radius Dorsal rim and carpus are displaced dorsally and proximally.
These are shear type fractures of the distal articular surface of the radius with translation of the distal radial fragment and the carpus. Volar plates were used with screws to lock the dorsal rim. Green stick fracture These are partial fractures, since only one part of the bone is broken and the other side is bent.
The injury is closed and she is neurovascularly intact. Barton’s fracture Volar-type Barton’s is a fracture-dislocation of the volar rim of the radius. Closed reduction of colles fractures: How would you treat this fracture based on the post-reduction radiographs?
Radiographs are shown in Figures A and B. Which of the following is the most likely cause for failure of fixation in this patient? Which of the following will best achieve anatomic reduction, restore function, and prevent future degenerative changes of the wrist?
Barton fracture | Radiology Case |
Bennett said his fracture “passed obliquely across the base of the bone, detaching the greater part of the articular surface, and the separated fragment was very large and the deformity that resulted there-from seemed more a dorsal subluxation of the first metacarpal”. Notice the depression of the volar rim. Displacement can be dorsal, volar, radial or proximal. On the left a typical die-punch fracture.
After immediate completion by the physician, the questionnaire was identified with a sequential number and filed. PA view should be barfon with the wrist and elbow at shoulder height. The purpose of this questionnaire is to investigate Brazilian orthopedists’ diagnostic and therapeutic methods, complications and results relating to clinical approaches to fractures of the distal radius.
This type of compression along the metacarpal bone is often sustained when a person punches a hard object, such as the skull or tibia of an opponent, or a wall. Basilar skull fracture Blowout fracture Mandibular fracture Nasal fracture Le Fort fracture of skull Zygomaticomaxillary complex fracture Zygoma fracture.
A volar buttress plate is the treatment of choice. After closed reduction and at follow up after one week, there is an acceptable tilt. Fractures with this configuration frequently show loss of reduction at follow up and need surgical treatment.