Álvarez LA, García LY, Montánchez SDR

Language: Spanish
References: 14
Page: 1752-1759
PDF size: 175.43 Kb.

ABSTRACT

Introduction: Galeazzi´s luxofractura is a little frequent disease of traumatic type characterized by diaphysial fracture of the radius and distal radioulnar articulation disjunction.
Clinical case: a 41 years old, white, male patient was admitted in the service of Orthopedics and Traumatology at the University Hospital Manuel Ascunce Domenech of Camaguey by a car accident with diagnosis of Galeazzi´s luxofractura. Two days after admission he was surgically intervened, who was placed an AO plate of dynamic compression with five perforations for radius fracture and Kirschner´s wire to stabilize the distal radioulnar articulation.
Conclusions: the presence of Galeazzi´s luxofractura is rare, especially in those patients who require fixation of distal radioulnar articulation, once radius fixation was performed.

REFERENCES

1. Eberl R, Singer G, Schalamon J, Petnehazy T, Hoellwarth ME. Galeazzi lesions in children and adolescents: treatment and outcome. Clin Orthop Relat Res. 2008;466(7):1705-9.

2. Giannoulis FS, Sotereanos DG. Galeazzi fractures and dislocations. Hand Clin. 2007;23(2):153-63.

3. Atesok KI, Jupiter JB, Weiss AP. Galeazzi Fracture. J Am Acad Orthop Surg. 2011;19(10):623-33.

4. Tsai PC, Paksima N. The distal radioulnar joint. Bull NYU Hospic Jt Dis. 2009;67(1):90-6.

5. Korompilias AV, Lykissas MG, Kostas-Agnantis IP, Beris AE, Soucacos PN. Distal radioulnar joint instability (Galeazzi type injury) after internal fixation in relation to the radius fracture pattern. J Hand Surg Am. 2011;36(5):847-52.

6. Macintyre NR, Ilyas AM, Jupiter JB. Treatment of forearm fractures. Acta Chir Orthop Traumatol Cech. 2009;76(1):7-14.

7. Mulford JS, Axelford TS. Traumatic injuries of the distal radioulnar joint. Hand Clin. 2010;26(1):155-63.

8. Gunes T, Erdem M, Sen C. Irreducible Galeazzi fracture-dislocation due to intra-articular fracture of the distal ulna. J Hand Surg Eur Vol. 2007;32(2):185-7.

9. Sebastin SJ, Chung KC. A historical report on Riccardo Galeazzi and the management of Galeazzi fractures. J Hand Surg Am. 2010;35(11):1870-7.

10. Maculé Beneyto F, Arandes Renu JM, Ferreres Claramunt A, Ramón Soler R. Treatment of Galeazzi fracture dislocations. J Trauma. 1994;36(3):352-5.

11. Ring D, Rhim R, Carpenter C, Jupiter JB. Isolated radial shaft fractures are more common than Galeazzi fractures. J Hand Surg Am. 2006;31(1):17-21.

12. Gwinn DE, O'Toole RV, Eglseder WA. Early motion protocol for select Galeazzi fractures after radial shaft fixation. J Surg Orthop Adv. 2010;19(2):104-8.

13. Magill P, Harrington P. Complex volar dislocation of the distal radioulnar joint in a Galeazzi variant associated with interposition of the ulnar neurovascular bundle. Eur J Orthop Surg Traumatol. 2009;19:256-67.

14. Kontakis GM, Pasku D, Pagkalos J, Katonis PG. The natural history of a mistreated ipsilateral Galeazzi and Monteggia lesion: report of a case 39 years post-injury. Acta Orthop Belg. 2008;74(4):546-9.