Galeazzi Lesions in Children and Adolescents: Treatment and Outcome
| Autor: | Robert Eberl, Georg Singer, Thomas Petnehazy, Michael E. Hoellwarth, Johannes Schalamon |
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| Rok vydání: | 2008 |
| Předmět: |
Male
medicine.medical_specialty Adolescent Sports medicine medicine.medical_treatment Joint Dislocations Ulna Galeazzi fracture Lesion Forearm medicine Humans Orthopedics and Sports Medicine Joint dislocation Diagnostic Errors Child Reduction (orthopedic surgery) Retrospective Studies business.industry Incidence Forearm Injuries General Medicine medicine.disease Surgery Casts Surgical Radius Treatment Outcome medicine.anatomical_structure Austria Orthopedic surgery Original Article Female medicine.symptom Radius Fractures business |
| Zdroj: | Clinical Orthopaedics & Related Research. 466:1705-1709 |
| ISSN: | 0009-921X |
| DOI: | 10.1007/s11999-008-0268-6 |
| Popis: | 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 possible with closed reduction and casting. The objective of this retrospectively designed study was to describe all Galeazzi lesions treated at our department during a 3-year period. One hundred ninety-eight patients with displaced fractures of the radius alone or both bones of the forearm were reviewed. In 26 (13%) cases, a Galeazzi lesion was found and these patients formed the study group. Outcome was assessed using the Gartland-Werley score. Eight of 26 (31%) fractures were recognized initially and classified as a Galeazzi lesion. Casting after fracture reduction was possible in 22 patients. Thirteen patients were treated with immobilization in a below-elbow cast and nine with an above-elbow cast. Four patients were treated operatively. The results were excellent in 23 cases and good in three cases. In cases of distal forearm fractures, a possible Galeazzi lesion should be considered. However, proper reduction of the radius with concomitant reduction of the distal radioulnar joint and cast immobilization provides good to excellent outcome even if the Galeazzi lesion is primarily not recognized. Level of Evidence: Level IV, therapeutic study. See the Guidelines for Authors for a complete description of levels of evidence. |
| Databáze: | OpenAIRE |
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