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Type ii galeazzi fracture1/5/2024 ![]() ![]() Lateral dislocation of the radial head with fracture of the ulna metaphysisĪnterior dislocation of the radial head with fracture of the shaft (diaphysis) of the ulna and radiusģ. Posterior dislocation of the radial head with fracture of the ulna shaft (diaphysis) or metaphysis Table 1: Bado classification of Monteggia fracture-dislocations.Īnterior dislocation of the radial head with fracture of the ulna shaft (diaphysis) The Bado classification system (Table 1) describes four types. How are they classified?Ī Monteggia fracture-dislocation refers to dislocation of the radial head (proximal radioulnar joint) with fracture of the ulna. Delayed or missed diagnosis is the most frequent complication. If an ulna fracture is present, always look for a radial head dislocation.Īll Monteggia fracture-dislocations require an urgent orthopedic assessment. Monteggia fracture-dislocations can be easily missed on x-ray. What are the potential complications associated with this injury?.What is the usual ED management for this fracture?.Do I need to refer to orthopaedics now?.When is reduction (non-operative and operative) required?.What radiological investigations should be ordered?.How common are they and how do they occur?.p.292-346.įeedback Content developed by Victorian Paediatric Orthopaedic Network.Monteggia fracture-dislocations - Fracture clinics Lippincott Williams & Wilkins, Philadelphia 2010. In Rockwood and Wilkins' Fractures in Children, 7 th Ed. Golz RJ, Grogan DP, Greene TL, Belsole RJ, Ogden JA. References (Outpatient setting)Ītesok KI, Jupiter JB, Weiss AP. Healed fracture with a clinically stable DRUJ. Indications for a consultant orthopaedic surgeon opinion are:ĥ. When should I refer for an orthopaedic consultant opinion? Nerve injury is uncommon, but cases have been reported with injuries to the ulnar nerve. Malunion of the radius can cause subluxation of the DRUJ. ![]() ![]() This can lead to ulna shortening and issues with the DRUJ, depending on the amount of growth remaining in the radius. There is a high risk (≤55%) of ulnar physeal injury with Galeazzi equivalent injuries. What are the potential complications associated with this injury? What should I review at each appointment?Īssessment of fracture healing and alignment of the DRUJ. It will take 2-3 months for return to full contact sportsĢ. ![]() The child needs to have full strength and range of movement (ROM) prior to return to sport. If DRUJ stabilised with pin, pin will need to be removed 4-6 weeks after injuryįractures with ulnar physeal injury need long-term review at 6-9 months to assess for growth arrest and any subsequent management May need review in second week based on stability of the fracture and DRUJ otherwise review at 6 weeks Table 1: Recommended follow-up schedule for Galeazzi fracture-dislocations.ġ week post-injury with x-ray to assess position and alignment of the distal radioulnar joint (DRUJ) How often should these fractures be followed up in fracture clinics? What are the indications for discharge?ġ.When should I refer for an orthopaedic consultant opinion?.What should I review at each appointment?.How often should these fractures be followed up in fracture clinics?.Galeazzi fracture-dislocation - Emergency Department ![]()
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