Type ii galeazzi fracture1/8/2024 Jaakkola J, Riggans D, Lourie G, Lang C, El hassem B, Rosenthal S. The efficacy of magnetic resonance imaging and ultrasound in detecting disruptions of the forearm interosseous membrane: a cadaver study. 1949 31B:578–88.įester EW, Murray PM, Sanders TG, Ingari JV, Leyendecker J, Leis HL. Pronation injuries of the forearm with special reference to the anterior monteggia fracture. Fractures of the radial head with distal radio-ulna dislocation. Radial head fractures with acute distal radioulnar dislocation. Reconstruction of essex-lopresti injury of the forearm: technical note. 1971 11:992–8.Ĭhloros G, Wiesler E, Stabile K, Papadonikolakis A, Ruch D, Kuzma G. The monteggia lesion: a review of 159 cases. Posttraumatic one-bone forearm reconstruction: a report of seven cases. Interosseous membrane reconstruction for the essex-lopresti injury. Despite the best surgical management the risk of complications following Monteggia, Galeazzi and Essex Lopresti injuries remains very high reflecting the extent of the musculoskeletal injury. If joint instability remains problematic after dealing adequately with the ulna, further procedures may be required to reconstruct the injured joint ligaments. Anatomical reconstruction of the ulna is required to restore associated radio-ulnar joint disruptions in Monteggia and Galeazzi injuries. A thorough explanation of the anatomy, mechanics and function of these structures is presented, together with specific details of recognized injury patterns and their management. Monteggia sounds close to mountain and since a mountain is high up, Monteggia is more proximal (higher) than Galeazzi.Combined injuries of the skeleton and stabilizing soft tissue structures of the forearm will give rise to significant morbidity if left untreated. Glasgow Rangers: Galeazzi / radial fracture Two British football (soccer) teams, with devoted followings: M: Monteggia U: ulna fracture R: radial head dislocation G: Galeazzi R: radius fracture U: ulna dislocation GRUesome MURder assists remembering which bone is firstly fractured and then secondly which is dislocated: Galeazzi involves fracture of the radius with distal radioulnar dislocation Monteggia involves fracture of the ulna with proximal radial dislocation GRIMUS helps to remember which forearm bone is fractured and whether the distal ("inferior") or proximal ("superior") part of the other forearm bone is dislocated. Essex-Lopresti starts with E for elbow indicating that it involves the radial head or neck wheras Galeazzi involves the radial diaphysis. Galeazzi and Essex-Lopresti fractures are the inverse both involve the radius with dislocation of the distal radioulnar joint. A being the first letter of the alphabet, there is dislocation of the proximal radioulnar joint. It is the only one of the eponymous forearm fracture-dislocations to involve the ulna. Monteggi A rhymes with ULN A (emphasis "ah" sound). It is useful to note that it is the head of the non-fractured bone that is dislocated.Īn alternative to the various mnemonics is the following simple rule set for eponymous fracture-dislocations of the forearm: There are several mnemonics for the difference between a Galeazzi and a Monteggia fracture-dislocation:
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