Luxofracturade monteggiay galeazzi manzano garcia sofia mahalet dr. We report a very rare case of monteggia and galeazzi fractures of the same forearm in a 23yearold female traffic accident victim. Monteggia fracturedislocations consist of a fracture of the ulnar shaft with concomitant dislocation of the radial head. Now customize the name of a clipboard to store your clips. Dislocation of the radial head reduced spontaneously. Monteggia fracture consists of a fracture of the ulna red arrow with angulation and associated dislocation of the radial head. Ipsilateral acute monteggia lesion and malunion of galeazzi. A galeazzi injury is a fracture of the radial shaft with dislocation of the ulna from its articulation with the radius at the distal radioulnar joint. There are several mnemonics for the difference between a galeazzi and a monteggia fracture dislocation. The ulnar fracture is usually obvious, whereas the radial head dislocation can be overlooked, with potentially serious functional and medicolegal ramifications. Fractures of the two forearm bones were reduced and fixed with a solid assembly.
There are several mnemonics for the difference between a galeazzi and a monteggia fracturedislocation. Grimus helps to remember which forearm bone is fractured and whether the distal inferior or proximal superior part of the bone is involved. Recebe o nome em homenagem a giovanni battista monteggia. Trauma xray upper limb gallery 1 monteggia v galeazzi. Fracture of the ulnar metaphysis associated with a lateral or anterolateral dislocation of the radial head. Clipping is a handy way to collect important slides you want to go back to later. Provide an explanation for key principles and pertinent aspects of the. Galeazzi and monteggia fracturedislocations mnemonic dr daniel j bell. Monteggia fractures bado classification orthopaedicsone. Such fractures are easily overlooked due to the prominence of the ulna fracture. Perform closed reduction of the radius, then assess the distal radioulnar joint for instability. The influence of lateral and anterior angulation of the proximal ulna on the treatment of a monteggia fracture.
The galeazzi fracture is a fracture of the distal third of the radius with dislocation of the distal radioulnar joint. Descargue como pptx, pdf, txt o lea en linea desde scribd. Perform open reduction and internal fixation of the radius, then assess the distal radioulnar joint for instability, and reconstruct the distal radioulnar joint with a looped palmaris longus autograft if instability persists. Pdf the monteggia fracture is a rare fracture of the forearm combining stricto sensu an ulna fracture, a radiohumeral dislocation and a radioulnar. Plastic deformation associated with anterior radial head dislocation 31% poor recognition can lead to recurrent dislocation incomplete fracture i. A line drawn through the shaft of the radius blue line should always intersect the capitellum. There are four types, based on the direction that the radial head is displaced bado classification.
Fracture of the proximal third of the radius and ulna at the same level associated with an anterior dislocation of the radial head. Also called a reverse monteggia fracture, galeazzis fracture consists of a fracture of the radius at the junction of the middle and distal thirds with distal radioulnar joint dislocation. It classically involves an isolated fracture of the junction of the distal third and middle third of the radius with associated subluxation or dislocation of the distal radioulnar joint. Sin embargo, esta lesion fue por primera vez descrita en 1842 por cooper. An unusual variant of galeazzis fractureluxation involving the distal ulnar epiphysis, whose reduction was impeded by the interposition of the extensor carpi ulnaris ecu tendom. Monteggia in children pediatric presentation is very unique characteristics include. It is useful to note that it is the head of the nonfractured bone that is dislocated. Monteggia fractures consist of an ulna fracture accompanied by radial head dislocation.
Galeazzi fracture consists of a fracture of the radius with angulation and associated dislocation of the distal ulna. Anatomic reduction, rigid fixation specific attention to the contour of the ulna grechenig w, clement h, pichler w, tesch np, windisch g. A monteggia fracture is a fracture of the proximal ulna with dislocation of the radial head. Earlier studies have reported on the results of treating monteggia fractures in children and adults even though this type of fracture is different in these two patient populations. Learningradiology galeazzi and monteggia fracturedislocations. This fracture pattern may be caused by a fall on an outstretched hand or from a direct trauma to the dorsal aspect of the wrist.
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