AuthorWrite something about yourself. No need to be fancy, just an overview. ArchivesCategories |
Back to Blog
Galeazzi fracture 2017 pubmed11/7/2023 ![]() Soft-tissue stabilizers of the distal radioulnar joint: an in vitro kinematic study. It also includes dislocation of the joint where the two forearm bones meet, causing. Anatomical and biomechanical study on the interosseous membrane of the cadaveric forearm. A Galeazzi fracture involves remote fractures at the far end and middle third of the large bone of the forearm. Interosseous membrane of the forearm: an anatomical study of ligament attachment locations. The middle radioulnar joint and triarticular forearm complex. Soubeyrand M, Wassermann V, Hirsch C, et al. European Surgical Orthopaedics and Traumatology: The EFORT Textbook. This might avoid confusion in forearm fracture-dislocations nomenclature and help surgeons with detection of lesions, guiding surgical treatment.Įssex-Lopresti Forearm fracture–dislocation classification Forearm joint Galeazzi Monteggia.ĭumontier C, Soubeyrand M. According to this classification, and similarly to that of the elbow, we could distinguish between simple dislocations and complex dislocations (fracture-dislocations) of the forearm joint.Īll injury patterns may be previously identified using an alphanumeric code. In addition to fracture-dislocations commonly referred to using historical eponyms (Monteggia, Galeazzi, and Essex-Lopresti), our classification system, to the best of the authors' knowledge, allowed us to include all types of dislocation and fracture-dislocation of the forearm joint reported in literature. Furthermore, we identified a group of three-locker injuries, other than Essex-Lopresti, associated with ulnar and/or radial shaft fracture causing longitudinal instability. We detected rare patterns of two-locker injuries, sometimes referred to using improper terms of variant or equivalent types of Monteggia and Galeazzi injuries. Three historical reviews were added separately to the process. According to exclusion criteria, 44 full-text articles describing atypical forearm fracture-dislocation were included. Įighty hundred eighty-four articles were identified through PubMed, and after bibliographic research, duplication removal, and study screening, 462 articles were selected. After article retrieval, the types of forearm lesion were classified using the following numerical algorithm: proximal forearm joint 1, middle radioulnar joint 2, if concomitant radial fracture R, if concomitant interosseous membrane rupture I, if concomitant ulnar fracture U, and distal radioulnar joint 3. Essex-Lopresti injury, Monteggia and Galeazzi fracture-dislocations, and proximal and/or distal radioulnar joint dislocations were sought. It is rare to find cases of combined Monteggia and Galeazzi. In this study we systematically review the literature to identify and classify all cases of forearm joint injury pattern according to the forearm joint and three-locker concepts.Ī comprehensive search of the PubMed database was performed based on major pathological conditions involving fracture-dislocation of the forearm. A diagnosis of combined Monteggia and Galeazzi-type fractures of the left forearm was made. Uncommon variants and rare traumatic patterns of forearm fracture-dislocations have sometimes been reported in literature. Galeazzi dislocation distal radius fracture ulnar styloid.Monteggia, Galeazzi, and Essex-Lopresti injuries are the most common types of fracture-dislocation of the forearm. In the presence of a Galeazzi fracture, a reduced/stable DRUJ needs to be critically assessed as more than half of irreducible DRUJs in a Galeazzi fracture-dislocation were missed either pre- or intraoperatively. Irreducible volar dislocations due to entrapment of the ulnar head occurred in 17.6% of cases with no tendon entrapment noted. In a dorsally dislocated DRUJ, a block to reduction in most cases (92.3%) was secondary to entrapment of one or more extensor tendons including the extensor carpi ulnaris, extensor digiti minimi, and extensor digitorum communis, with the remaining cases blocked by fracture fragments. More than half of the irreducible DRUJ dislocations were not identified intraoperatively. A high-energy mechanism of injury was the root cause in all cases. The age range was 16 to 64 years (mean = 25 years). The purpose of this study is to review all cases of irreducible Galeazzi fracture-dislocations reported in the literature to offer guidelines in the diagnosis and management of this rare injury.Ī search of the MEDLINE database, OVID database, and PubMed database was employed using the terms "Galeazzi" and "fracture." Of the 124 articles the search produced, a total of 12 articles and 17 cases of irreducible Galeazzi fracture-dislocations were found. In rare instances, the reduction of the DRUJ is blocked by interposed structures requiring open reduction of this joint. Fractures of the radial shaft with disruption of the distal radial ulnar joint (DRUJ) or Galeazzi fractures are treated with reduction of the radius followed by stability assessment of the DRUJ.
0 Comments
Read More
Leave a Reply. |