Combined Monteggia and Galeazzi fractures

Case contributed by Dr Craig Hacking

Presentation

Fall off horse

Patient Data

Age: 30
Gender: Male

Comminuted fractures of the ulnar and radial midshafts with significant radial and volar angulation. Large ulnar butterfly fragment. Dorsally dislocated ulnar head (DRUJ). Abnormal radiocapellar alignment which requires formal elbow views.

X-ray

Post backslab

Short arm backslab. Ulnar and radial midshaft fractures maintain similar alignment.  Dorsally dislocated ulnar head (DRUJ). Volarly dislocated radial head (PRUJ) confirmed.

Case Discussion

Rare case of combined Monteggia and Galeazzi fracture-dislocations.

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Case information

rID: 48694
Case created: 20th Oct 2016
Last edited: 8th Apr 2017
Inclusion in quiz mode: Included

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