FRACTURA DE MONTEGGIA Y GALEAZZI PDF

Email: moc. Abstract We present an exceedingly rare case of left Monteggia-Galeazzi fracture-dislocation and right Monteggia-distal radius fracture occurring simultaneously in a year old male patient who had fallen 13 meters from a building. The combination of Monteggia and Galeazzi fracture-dislocation in the same forearm is very rare and, to the best of our knowledge, simultaneous bilateral Monteggia and Galeazzi or distal radius fracture in the same patient, have never been reported. The reported mechanism of injury for Monteggia lesions in children is a fall on outstretched hand in pronated position. In adults, ulnar fractures always display either a transverse comminuted fracture or a fracture with butterfly fragment, both of which suggest a direct blow or bending force rather than torsion, and the mechanism of injury in children. The mechanism causing a Galeazzi injury is generally believed to be a fall on outstretched hand with hyperpronation 2.

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Email: moc. Abstract We present an exceedingly rare case of left Monteggia-Galeazzi fracture-dislocation and right Monteggia-distal radius fracture occurring simultaneously in a year old male patient who had fallen 13 meters from a building. The combination of Monteggia and Galeazzi fracture-dislocation in the same forearm is very rare and, to the best of our knowledge, simultaneous bilateral Monteggia and Galeazzi or distal radius fracture in the same patient, have never been reported.

The reported mechanism of injury for Monteggia lesions in children is a fall on outstretched hand in pronated position. In adults, ulnar fractures always display either a transverse comminuted fracture or a fracture with butterfly fragment, both of which suggest a direct blow or bending force rather than torsion, and the mechanism of injury in children. The mechanism causing a Galeazzi injury is generally believed to be a fall on outstretched hand with hyperpronation 2.

Case report A 20 - year old college student who fell from a height of 13 meters the 4th floor of a building was brought to our hospital a few hours after trauma. He presented with bilateral open forearm fractures exposed ulnar bone , swollen and deformed elbows and wrists, deformity of left arm and thigh. He presented radial nerve palsy on the left side and scalp laceration. Vital signs and central nervous system were normal. Radiographic examination Fig.

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Fractura de Galeazzi

Son lesiones frecuentes y que pueden tener graves secuelas funcionales, ya que entre el cubito y el radio se produce el movimiento de pronosupinacion del antebrazo, tan importante para que la mano adopte la adecuada posicin en las distintas funciones. Pueden asentarse sobre la diafisis del cubito o radio y pueden acompaarse de luxacin proximal del radio montegiia o de luxacin distal galeazzi. Tx inicial Reduccin cerrada Inmovilizacin con frula semanas Cuando son expuestas o irreductibles se debe llevar a cabo tx quirrgico. Mecanismo de lesin 1. Directo : agresiones con trauma directo, generalmente por objet en movimiento.

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