Diagnosis

Partial articular fracture of the radius, involving the volar rim (reverse Barton's, Goyrand-Smith II)

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Clinical examination

The patient should be evaluated for:

• Age
• Hand dominance
• Occupation
• Level of activity
• Quality of bone
• General medical condition

Options
1.  Simple
2.  Fragmentary

1.  Simple

Partial articular simple fracture of the radius, involving the volar rim (reverse Barton's, Goyrand-Smith II)

In these fractures, there is a single, palmar rim fragment. This may be a relatively small fragment avulsed by the volar capsule, or it may include a significant portion of the articular surface.

These are classified by AO/OTA as 2R3B3.1.

There may be an associated ulnar injury. This is usually a fracture of the ulnar styloid process, but other ulnar fractures are possible.

Partial articular simple fracture of the radius, involving the volar rim (reverse Barton's, Goyrand-Smith II) x-rays

2.  Fragmentary

Partial articular fragmentary fracture of the radius, involving the volar rim (reverse Barton's, Goyrand-Smith II)

These are multifragmentary fractures of the palmar rim (including a portion of the articular surface).

These are classified by AO/OTA as 2R3B3.3.

There may be an associated ulnar injury. This is usually a fracture of the ulnar styloid process, but other ulnar fractures are possible.