Pronation-Type Galeazzi-Equivalent Fracture: A Case Report.
| Autor: | Alahmari AM Sr; Orthopedics, King Fahad General Hospital, Jeddah, SAU., Hafiz H; Orthopedics, Security Forces Hospital, Makkah, SAU., Alfaidi AM; Orthopedic Surgery, Prince Meshari Bin Saud-General Hospital, Baljurashi, SAU., Ali A; Orthopedic Surgery, King Abdullah Medical Complex, Jeddah, SAU. |
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| Jazyk: | angličtina |
| Zdroj: | Cureus [Cureus] 2023 Aug 13; Vol. 15 (8), pp. e43430. Date of Electronic Publication: 2023 Aug 13 (Print Publication: 2023). |
| DOI: | 10.7759/cureus.43430 |
| Abstrakt: | Fractures of the forearm are common among children and adolescents. Radial shaft fracture with dislocation of the distal radioulnar joint (DRUJ), called Galeazzi fracture, is unusual in pediatrics. The Galeazzi-equivalent fracture is a variant of the classic Galeazzi fracture that occurs in children and adolescents. It is a radius fracture associated with a distal ulnar displaced physeal injury without dislocation of the DRUJ. Our patient was a male, aged 15 years, who visited our emergency department after falling off a scooter onto his left hand. Left wrist X-rays showed a displaced Galeazzi-equivalent fracture. After a trial of close reduction, an X-ray showed a displaced and unstable fracture pattern. The patient was subsequently hospitalized for surgical intervention. Open reduction and internal fixation (ORIF) with a plate and screw were used for the radius fracture. The ulna fracture was irreducible; therefore, ORIF with two crossed smooth Kirschner wires (K-wires) was performed. Complete bone union was achieved, and he had a normal range of motion six months postoperatively. The patient is now able to perform daily and sports activities. At two-year follow-up, complications such as DRUJ instability or joint deformity did not occur. In conclusion, open reduction is desired for patients with malalignment or older patients who have a lower potential for sufficient bone remodeling. Regular serial follow-up sessions are required to assess growth arrest and the occurrence of other complications. Competing Interests: The authors have declared that no competing interests exist. (Copyright © 2023, Alahmari et al.) |
| Databáze: | MEDLINE |
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