similar to a [[Barton fracture]] type of distal radius fracture > "reverse [[colles fracture]]" ![[Pasted image 20240320130705.png]] - I - extra-articular transverse fracture through distal radius (most common) - II - intra-articular oblique fracture (conceptually equivalent to a "reverse Barton" fracture) - III - juxta-articular oblique fracture (rare) # treatment reduction in ED ![[Pasted image 20240320131343.png]] ![[Pasted image 20240320131406.png]] above elbow backslab early ortho follow up for consideration of operative management as usually unstable fractures # complications **immediate** - median nerve compression - [[Compartment syndrome]] of forearm - associated [[Carpal dislocations|carpal bone]] fracture or dislocation **delayed** - malunion - garden spade deformity - carpal tunnel syndrome - complex regional pain syndrome - osteoarthritis