$montega vs galeazzi fracture$

In our patient, lateral x-ray of the left wrist, demonstrated dislocation of the ulnar head relative to the radius. They list 4 reliable radiographic signs of DRUJ disruption as: basal fracture of ulnar styloid widening of joint space of the DRUJ as shown on anteroposterior x-ray dislocation of the radius relative to the ulna as shown on a lateral x-ray and a shortening of the radius of more than 5 millimeters. Moore et al believe that the exact clinical and radiological criteria for Galeazzia fractures have not yet been clearly established ( 7). Because of rare occurrence of this injury and presence of multiple fractures and dislocations there is possibility of pitfalls in the operative treatment of these cases ( 13).įalling down on outstretched hand with pronation of left side could cause distal radius fracture, DRUJ dislocation, radial head dislocation, ulnar open fracture, humerus fracture and radial nerve laceration at arm fracture site. To the best of our knowledge the occurrence of combined Monteggia-Galeazzi fracture on one side and Monteggia-distal radius fracture on the other side in the same patient have never been reported. There are few reports of combined Monteggia with distal radius fracture.

$montega vs galeazzi fracture$

Ten cases of combined Monteggia and Galeazzi fracture have been reported (8 adults and 2 childrens) ( 4, 5, 6, 13). Galeazzi fracture is fracture of the distal radial shaft with DRUJ dislocation. At the time of the last visit 18 months after trauma, the elbow, forearm, and wrist motion were all evaluated ( Table 1).Īccording to Bado ( 3), Monteggia lesion includes radiohumeral dislocation associated with fracture of the ulna at any level. The patient returned to work 9 months after the accident.

$montega vs galeazzi fracture$

Six months after the trauma the healing of the fractures was completed and the patient recovered his wrist extension power ( Fig. Twelve weeks after the primary trauma the ulnar fracture in the left forearm did not progressed to union as well as that of the right side, Thus plating and bone grafting were performed on the left side. Consequently a closed reduction of the DRUJ was performed in the operating room and the ulna pinned to the radius (the pins were removed 6 weeks later). When the forearm splints were removed after 4 weeks, the left distal radio ulnar joint (DRUJ) seemed unstable and dislocated by forearm supination. The radial lacerated nerve at the level of the fracture was repaired with open reduction of the femoral fracture. Three days after the trauma when the patient's general health had stabilized, open reduction of the humerus fracture with radial nerve exploration was performed. When the opposite occurs (that is, the radius breaks and shortens), the distal radio-ulnar joint dislocates, resulting in the Galeazzi or 'reverse Monteggia' fracture.A: Right forearm after reduction of distal radius fracture, radial head dislocation and open ulnar fracture, B: Left forearm after percutaneus pining of distal radioulnar joint.īilateral long arm splint was applied. When the ulna is fractured and shortened, the proximal radio-ulnar joint dislocates (the Monteggia fracture). The proximal and distal joints must be carefully scrutinized in every fracture of the forearm. In fractures of the forearm, any shortening of one bone of the forearm necessitates either a fracture of the other with equivalent shortening, or a dislocation at the proximal or distal radio-ulnar joint (Fig 1).

$montega vs galeazzi fracture$

Mistakes in their management account for a high incidence of poor results. They are inherently unstable due to a variety of factors which are poorly understood by many surgeons.

$montega vs galeazzi fracture$

FRACTURE-dislocations of the forearm are not common injuries.

$montega vs galeazzi fracture$

Montega vs galeazzi fracture