Also called a reverse Colles fracture, the Smith fracture is a transverse fracture of the distal radial metaphysis with palmar (as opposed to dorsal) displacement of the distal fracture fragment. If the fracture is intraarticular, it is called a reverse Barton fracture. This fracture results from a backward fall onto the outstretched hand.

A	Lateral radiograph of the wrist. This demonstrates a distal radial fracture. There is palmar displacement of the distal fracture fragment.

Links to online textbooks:

• Wheeless' Orthopedics: discussion of Smith fracture

Links to online cases:

• Amirmd.com

References:

• Spence LD, Savenor A, Nwachuku I, Tilsley J, Eustace S: MRI of fractures of the distal radius: comparison with conventional radiographs Skeletal Radiol. 1998 May;27(5):244-9.           [See related articles]
• Bongers KJ: Operative treatment of Smith's fracture Neth J Surg. 1984 Feb;36(1):10-2.           [See related articles]
• Woodyard JE: A review of Smith's fractures J Bone Joint Surg Br. 1969 May;51(2):324-9.           [See related articles]