$galeazzi fracture posna$

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.

$galeazzi fracture posna$

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.

$galeazzi fracture posna$

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. 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. 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. Thus it is recommended that if a Galeazzi Fracture is diagnosed then to proceed with surgery to have the best chance of regaining the lost function of the hand due to this severe injury.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. Nonoperative treatments also resulted in the arm being weak with poor grip strength and lifting abilities with the affected hand which is not the case of the Galeazzi Fracture is treated surgically.

$galeazzi fracture posna$

In fact a study suggests that of all cases of Galeazzi Fracture that were treated non-operatively 92% ended up with not so good results with incomplete restoration of arm function and other functional abnormalities. However, if the patient is treated conservatively then the prognosis is more guarded with the chances of a nonunion of the fracture being reported to be more. It is extremely rare for a Galeazzi Fracture to end up with a nonunion after surgical fixation. The overall prognosis for a Galeazzi Fracture after surgical treatment is quite good. What is the Overall Prognosis of a Galeazzi Fracture?

$galeazzi fracture posna$

Galeazzi fracture posna