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A Barton's fracture is an intra-articular fracture of the distal radius with dislocation of the radiocarpal joint.
There exist two types of Barton's fracture – dorsal and palmar, the latter being more common. The Barton's fracture is caused by a fall on an extended and pronated wrist increasing carpal compression force on the dorsal rim. Intra-articular component distinguishes this fracture from a Smith's or a Colles' fracture. Treatment of this fracture is usually done by open reduction and internal fixation with a plate and screws, but occasionally the fracture can be treated conservatively.
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