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Barton's fractures-reverse Barton's fractures. Confusing eponyms

G H Thompson, T T Grant

    Clinical Orthopaedics and Related Research
    |January 1, 1977
    PubMed
    Summary
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    Barton's fracture, a term encompassing both anterior and posterior distal radius marginal fractures, requires clearer classification. This study reviews literature and clinical cases to propose anatomically descriptive terms over eponyms for these unusual injuries.

    Area of Science:

    • Orthopedic Surgery
    • Traumatology
    • Radiology

    Background:

    • Barton's fracture is an eponym used for both anterior and posterior marginal fracture dislocations of the distal radius.
    • Barton's original description specifically referred to posterior marginal injuries.
    • Current literature lacks a clear distinction, leading to classification ambiguity.

    Purpose of the Study:

    • To clarify the nature of anterior and posterior marginal fracture dislocations of the distal radius.
    • To review existing literature and clinical data on these injuries.
    • To propose a more accurate and descriptive classification system.

    Main Methods:

    • Comprehensive review of the world literature on Barton's fractures.
    • Analysis of clinical experience with 15 cases (10 anterior, 5 posterior) at UCLA Hospital (1972-1975).

    Related Experiment Videos

  • Comparison of injury mechanisms and demographics between anterior and posterior types.

    • Main Results:

    • Anterior and posterior marginal fracture dislocations constitute 2.3% of distal forearm fractures.
    • Male injuries often result from high-velocity trauma in younger individuals, with associated injuries.
    • Female injuries typically occur from simple falls in older individuals.

    Conclusions:

    • The term 'Barton's fracture' should be discontinued due to its ambiguity.
    • Anatomically descriptive terms like 'anterior marginal fracture-dislocation of the distal radius' and 'posterior marginal fracture-dislocation of the distal radius' are recommended.
    • A standardized classification will improve understanding and management of these injuries.