Smith fracture

Case contributed by Alexandra Stanislavsky
Diagnosis certain

Presentation

Motor vehicle accident.

Patient Data

Gender: Male
x-ray

Fractures through the palmar aspect of the distal radius (involving the articular surface) and the ulnar styloid are identified, with palmar subluxation of the carpus with respect to the forearm. 

ct

Single image from a CT of the wrist demonstrates the fracture to extend from the articular sufrace of the radiocarpal joint, down to the volar aspect of the distal radius. The carpus remains aligned to the fracture fragment, and is thus subluxed with respect to the intact part of the radius. 

Case Discussion

This case demonstrates a Smith (aka reverse Barton's) fracture, with radiocarpal subluxation. 

How to use cases

You can use Radiopaedia cases in a variety of ways to help you learn and teach.

Creating your own cases is easy.

Updating… Please wait.

 Unable to process the form. Check for errors and try again.

 Thank you for updating your details.