What are the fractures of the Monteggia and the Galeazzi?
According to Bado (3), Monteggia lesion includes radiohumeral dislocation associated with fracture of the ulna at any level. Galeazzi fracture is fracture of the distal radial shaft with DRUJ dislocation.
Which bone is fractured in a Galeazzi fracture-dislocation?
A Galeazzi fracture is a fracture of the middle to distal third of the radius associated with dislocation or subluxation of the distal radioulnar joint (DRUJ).
What is Galeazzi and Monteggia fracture Mnemonic?
GRUesome MURder assists remembering which bone is firstly fractured and then secondly which is dislocated: G: Galeazzi R: radius fracture U: ulna dislocation. M: Monteggia U: ulna fracture R: radial head dislocation.
Which nerve is affected in Galeazzi fracture?
Galeazzi fractures are sometimes associated with wrist drop due to injury to radial nerve, extensor tendons or muscles.
How many types of Galeazzi fractures are there?
also classified Galeazzi fractures into three types based on the location of the distal radius fracture; type I was 0-10 cm from the tip of radial styloid, type II was 10-15 cm, and type III was >15 cm away from the radial styloid [9]. The worse results were noted in patients with type I fractures.
What is the opposite of monteggia fracture?
A Galeazzi fracture is a fracture of the distal radius with dislocation of the distal radioulnar joint (DRUJ). MUGR (pronounced “MUGGER”): identifies the fractured bone.
Which of the following is the preferred treatment for a Monteggia fracture dislocation of the proximal forearm?
For Monteggia fracture-dislocations, best treatment includes ORIF of the ulna diaphyseal fracture.
What are Galeazzi and Monteggia fractures?
Emergency medicine practitioners need to be vigilant for both Galeazzi (distal radius fracture with radioulnar joint disruption), and Monteggia (proximal ulna fracture with radial head dislocation) fracture-dislocations.
How can I avoid iatrogenic comminution in a Galeazzi fracture?
• Lag screw fixation, when possible, preferable with mini-frag (2.0 mm) screws to avoid iatrogenic comminution • Provisional minifrag plating – can also be useful Galeazzi Fractures • Example Case:
What is the difference between Galeazzi fractures and isolated radial shaft fractures?
Isolated radial shaft fractures are more common than Galeazzi fractures. J Hand Surg Am . 2006;31:17-21) • Contralateral radiographs helpful in determining the presence or degree of DRUJ instability Galeazzi Fractures
What is the post-operative protocol for a Galeazzi fracture?
Galeazzi Fractures • Post-operative protocol: • Immobilization in near- full supination in sugartong postop • Early conversion to Munster brace in 45-60 degrees supination • At 2 weeks, ROM from full supination to neutral • At 4 weeks, unrestricted ROM Monteggia Fractures