How do you remember monteggia vs Galeazzi fracture?

Use “A to Z” to remember the location of the fracture-dislocation: ‘A’ is proximal (MonteggiA) – Radial head dislocation and proximal ulna fracture. ‘Z’ is distal (GaleazZi) – Distal radioulnar joint dislocation and distal radius fracture.

How do I remember my Galeazzi fracture?

Mnemonics

1. G: Galeazzi. R: radius. I: inferior.
2. M: Monteggia. U: ulna. S: superior.

How do you fix a Galeazzi fracture?

Most Galeazzi fractures will require surgery, except possibly in a child. Surgery requires an open reduction. In this procedure, the bones are put back into place and a plate and screws are used to keep the fractured bones together. A wire, screw, or other device is used to keep the dislocated ulna in place.

How many types of Galeazzi fractures are there?

Galeazzi fractures are classified according to the position of the distal radius: type I: dorsal displacement. type II: volar displacement.

What is a Galeazzi fracture?

The Galeazzi fracture is a fracture of the middle to distal one-third of the radius associated with dislocation or subluxation of the distal radioulnar joint (DRUJ). Advances in radiography and fracture research have helped define, classify, and guide operative management.

What is cortical buckling?

Buckle (torus) fractures occur when the bony cortex is compressed and bulges, without extension of the fracture into the cortex (Figure 1). This type of fracture occurs in about 1 in 25 children and represents 50% of pediatric fractures of the wrist.

What is a Bennett’s fracture?

The Bennett fracture is the most common fracture involving the base of the thumb. This fracture refers to an intraarticular fracture that separates the palmar ulnar aspect of the first metacarpal base from the remaining first metacarpal.

How do you treat a broken monteggia?

For Monteggia fracture-dislocations, best treatment includes ORIF of the ulna diaphyseal fracture. The ulna fracture is approached and reduced first. The radial head dislocation then usually reduces indirectly and is stable. (More than 90% of radial head dislocations are stable after fixation of the ulna.)

What does Galeazzi mean?

The Galeazzi fracture is a fracture of the middle to distal one-third of the radius associated with dislocation or subluxation of the distal radioulnar joint (DRUJ).

What is a Greenstick break?

A greenstick fracture occurs when a bone bends and cracks, instead of breaking completely into separate pieces. The fracture looks similar to what happens when you try to break a small, “green” branch on a tree.

What is a chauffeur’s fracture?

Chauffeur fractures (also known as Hutchinson fractures or backfire fractures) are intra-articular fractures of the radial styloid process. The radial styloid is within the fracture fragment, although the fragment can vary markedly in size.

What is Barton’s fracture?

A Barton fracture is a compression injury with a marginal shearing fracture of the distal radius. The most common cause of this injury is a fall on an outstretched, pronated wrist.

What kind of fracture is a Galeazzi fracture?

Summary A galeazzi fracture is a distal 1/3 radial shaft fracture with an associated distal radioulnar joint (DRUJ) injury. Diagnosis can be suspected with a distal radius fracture with widening of the radioulnar joint on AP wrist radiographs and volar/dorsal subluxation of the radioulnar joint on lateral wrist radiographs.

What happens to pronation after a Galeazzi fracture?

[8] Loss of strength of pronation (27.2%), and of supination (12.5%) in particular, after a Galeazzi fracture is associated with worse clinical scores, highlighting the importance of supination of the forearm in function of the upper limb.

What to do with a broken arm from Galeazzi?

Perform closed reduction of the radius, then immobilize the forearm in a long arm cast in supination. Perform open reduction and internal fixation of the radius, then assess the proximal radioulnar joint for instability, and percutaneously fix the proximal radioulnar joint if instability persists.