Fractures: Barton fracture: practice question

A Orthopaedics question in the style of the NEET PG paper. Answer it first, then read why the right option is right and why each of the others is wrong.

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Orthopaedics · Fractures: Barton fracture

Sample item

A young adult falls on the wrist and radiographs show an oblique intra-articular fracture of the volar rim of the distal radius with the carpus displaced along with the fragment. Which fracture is this?

Original practice item, not a recalled exam question. Nothing here is recorded.

The answer and the reasoning

C. Volar Barton fracture

Barton fracture is a marginal intra-articular fracture of the distal radius, dorsal or volar, with subluxation of the carpus along with the fragment. It is unstable and usually needs buttress plating.

Option by option

  • A. Chauffeur fracture

    Chauffeur fracture involves the radial styloid only.

  • B. Galeazzi fracture

    Galeazzi fracture is a radial shaft fracture with distal radioulnar joint dislocation.

  • C. Volar Barton fracture (correct)

    Correct. A rim fracture of the distal radius with carpal subluxation is a Barton fracture.

  • D. Colles fracture

    Colles fracture is extra-articular without carpal subluxation.

Source note: Original NextPrep sample item — pending expert review. This item is original practice material awaiting independent expert review, so confirm important facts in a standard textbook.

More Orthopaedics questions

Questions about this Orthopaedics question

What is the answer to this Orthopaedics question?

The best answer is C, Volar Barton fracture. Barton fracture is a marginal intra-articular fracture of the distal radius, dorsal or volar, with subluxation of the carpus along with the fragment.

Why is "Chauffeur fracture" not the answer?

Chauffeur fracture involves the radial styloid only.

Why is "Galeazzi fracture" not the answer?

Galeazzi fracture is a radial shaft fracture with distal radioulnar joint dislocation.

Why is "Colles fracture" not the answer?

Colles fracture is extra-articular without carpal subluxation.

What concept does this question test?

It tests Fractures: Barton fracture in Orthopaedics. It is unstable and usually needs buttress plating.

How hard is this question?

We tag it as an application question: it asks you to use a fact on a patient or a finding. The tag is our own editorial judgement, not an official difficulty rating, so read the reason for every option, not only the answer.

How should I study Fractures: Barton fracture?

Pair each fracture with its classic complication and nerve injured. Then use the flashcards and the other Orthopaedics questions on this site to test what stuck.

Is this a real NEET PG question?

No. It is an original practice item (editorial status: sample, version 1). NextPrep does not publish recalled or leaked questions, and independent faculty review of this item has not been completed yet, so confirm important facts in a standard textbook.