There are several mnemonics for the difference between a Galeazzi and a Monteggia fracture-dislocation: GRIMUS MUGR (pronounced as mugger) FROG . A Galeazzi fracture is defined as a fracture of the radius associated with dislocation of the distal radioulnar joint. Treatment in children and adolescents is usually. Schlüsselwörter. ○▷ Galeazzi-Fraktur. ○▷ Galeazzi like lesion. ○▷ modifizierte Klassifikation. Galeazzi Fractures: our Modified Classification and. Treatment.

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Ann Acad Med Singapore. The results were excellent in 23 cases and good in three cases. Galeazzi and Monteggia fracture-dislocation. Reduction was performed framtur the patients under general anesthesia in all cases. Fracture of the distal radial shaft: Minimally displaced fractures were reduced using conscious sedation at the outpatient department and the patients were excluded from the study.

Galeazzi Lesions in Children and Adolescents: Treatment and Outcome

A possible reason for the considerable rate of overlooked Galeazzi lesions may be a lack of information regarding the specific classification of fractures in the distal forearm. Radiographics full text – Pubmed citation.

None of the authors was the operating frakthr. What would be your next step in treatment for this patient?

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Galeazzi fracture resulting from electrical shock. Pain and soft-tissue swelling are present at the distal-third radial fracture site and at the wrist joint. How would you treat this patient? The patient required transfer of the tendon of the extensor indicis muscle. Children and adolescents frequently present to emergency departments with fractures of the forearm [ 17 ]. One child experienced a complicated clinical frakthr.


Galeazzi fracture – Wikipedia

Outcome was assessed using the Gartland-Werley score. Therefore, the main objective of our retrospective study was to analyze the incidence of Galeazzi fractures in children with a dislocated fracture of the forearm galeaxzi to report the percentage of misdiagnosed Galeazzi fractures in this group of patients. Additionally, there is lack of information regarding how the baleazzi misdiagnosis of a Galeazzi lesion influences treatment and outcome in the pediatric population.

Distal fractures fraitur the forearm in children require exact radiologic imaging and adequate diagnosis to recognize a possible Galeazzi lesion. Author information Article notes Copyright and License information Disclaimer. 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 radio-ulnar joint; the injury disrupts the forearm axis joint.

Proper reduction of the radius with subsequent reduction of the ulna in the DRUJ and cast immobilization provide good to excellent outcomes even if the Galeazzi lesion is primarily underdiagnosed.

Because of the relatively small numbers of patients, this study is a descriptive report and therefore statistical analysis was not performed. A An AP view and B lateral view are shown immediately after repositioning and plaster casting of the same patient as in Figure 1. In children, reports regarding the incidence of this type of injury differ substantively from 0. If soft tissue impingement is suspected, an open procedure for exploration of the joint and open reduction and internal fixation are mandatory.

In both cases, the lesion was not recognized at admission or galeazi surgery. Our data confirm these findings with all of the fractures being located in the distal third of the radius. Above-elbow casts are useful with fractures of both bones of the forearm but are not required in typical Galeazzi injuries.


Because of this observation, we do not recommend conducting a thorough examination of the distal radioulnar joint before reduction of the forearm [ 5 ]. These two patients had fractures of both bones of the forearm with the fracture located at the junction of the middle to the distal thirds of the forearm. The average age of the patients without a Galeazzi lesion was similar at Thank you for updating your details. We propose the different directions of displacement are caused by different mechanisms of injuries; a posterior displacement of the ulna is caused by a longitudinal force on the arm in supination, whereas anterior displacement is more likely if the hand is in a pronated position.

File:Galeazzi-Fraktur Roentgen ap und seitlich – – – Wikimedia Commons

In the remaining two cases, dorsal plate fixation of the radius was required. In the pediatric population, good results after closed reduction and casting have been reported [ 1019 ]. How important is fraotur topic for clinical practice?

Maisonneuve fracture Le Fort fracture of ankle Bosworth fracture. From tochildren with displaced forearm fractures were identified. Please login to add comment.