L H Ooi1, C L Toh. 1. Mount Elizabeth Medical Centre, 3 Mount Elizabeth, Singapore 228510.
Abstract
INTRODUCTION: This is a report of 2 consecutive cases of the Galeazzi-equivalent fracture in children. CLINICAL PICTURE: In both cases, the mechanism of injury was falls onto the outstretched hand. Radiographs showed fracture of the radius with separation of the distal ulnar physis. TREATMENT: Initial treatment by closed manipulation failed; hence, open reduction and internal fixation was required. The cause of failure of closed manipulation in both cases was interposition of soft tissue into the ulnar fracture site. OUTCOME: Both cases showed good functional outcome after open reduction and internal fixation. CONCLUSION: Recognition of this form of injury is necessary to ensure proper treatment is undertaken to prevent the complications of inadequate reduction and growth retardation.
INTRODUCTION: This is a report of 2 consecutive cases of the Galeazzi-equivalent fracture in children. CLINICAL PICTURE: In both cases, the mechanism of injury was falls onto the outstretched hand. Radiographs showed fracture of the radius with separation of the distal ulnar physis. TREATMENT: Initial treatment by closed manipulation failed; hence, open reduction and internal fixation was required. The cause of failure of closed manipulation in both cases was interposition of soft tissue into the ulnar fracture site. OUTCOME: Both cases showed good functional outcome after open reduction and internal fixation. CONCLUSION: Recognition of this form of injury is necessary to ensure proper treatment is undertaken to prevent the complications of inadequate reduction and growth retardation.
Authors: Robert Eberl; Georg Singer; Johannes Schalamon; Thomas Petnehazy; Michael E Hoellwarth Journal: Clin Orthop Relat Res Date: 2008-04-29 Impact factor: 4.176