- Discussion:
- dorsal rim frxs usually result from a fall on the outstretched hand;
- proximal carpal row impacts against the dorsal lip of the articular surface of the radius, which fracture in compression and displaces proximally and dorsally;
- volar radiocarpal ligaments fail in tension, and dorsal dislocation of the carpus may occur;
- often Dorsal Barton's Frx will frequently occur along w/ Radial Styloid Frx;
- dorsal rim frxs usually result from a fall on the outstretched hand;
- proximal carpal row impacts against the dorsal lip of the articular surface of the radius, which fracture in compression and displaces proximally and dorsally;
- volar radiocarpal ligaments fail in tension, and dorsal dislocation of the carpus may occur;
- often Dorsal Barton's Frx will frequently occur along w/ Radial Styloid Frx;
- Treatment:
- most of the time, this fracture will require open reduction to ensure congruity of the radiocarpal joint;
- attempt to perform fixation with K wires or screws;
- dorsal plates should be avoided, because tenosynovitis can occur in closely apposed extensor tendons