Strategies in Trauma and Limb Reconstruction

Register      Login

VOLUME 12 , ISSUE 2 ( August, 2017 ) > List of Articles


Combined open bipolar Monteggia and Galeazzi fracture: a case report with a 1-year follow-up

Christos Koutserimpas, Georg Tsironis, Antonios Salasidis, Phillipp Swatoch, Konstantin Tsironis

Keywords : Combined Monteggia, Galeazzi, Forearm, Fracture

Citation Information : Koutserimpas C, Tsironis G, Salasidis A, Swatoch P, Tsironis K. Combined open bipolar Monteggia and Galeazzi fracture: a case report with a 1-year follow-up. 2017; 12 (2):121-125.

DOI: 10.1007/s11751-017-0280-z

License: CC BY-NC-SA 4.0

Published Online: 01-12-2015

Copyright Statement:  Copyright © 2017; The Author(s).


Monteggia and Galeazzi fractures account for 1–5% of total forearm fractures. A combined Monteggia and Galeazzi fracture is an extremely rare injury. We present a case of a Gustillo-Henderson type 2 open combined bipolar Monteggia and Galeazzi fracture, as well as fracture of the ulnar coronoid process in a 49-year old male. The patient was treated surgically, with open reduction and internal fixation. At 6 months postoperative, he was diagnosed with pseudarthrosis and underwent surgery with autologous bone grafting from the iliac crest. At the 1-year follow-up, the patient presented an extension deficit of 5° in elbow, a 15° deficit in pronation and 20° deficit in supination of the wrist. The patient continues to work as a painter without significant problems in his everyday routine and he is still regularly engaged in cycling. Additionally we provide a historical background of these injuries.

PDF Share
  1. Goldberg HD, Young JW, Reiner BI, Resnick CS, Gillespie TE (1992) Double injuries of the forearm: a common occurrence. Radiology 185(1):223-227
  2. Maeda H, Yoshida K, Doi R, Omorio O (2003) Combined Monteggia and Galeazzi fractures in a child: a case report and review of the literature. J Orthop Trauma 17(2):128-131
  3. Mann C, Jeer P, Housden P, Hyde ID (2000) Combined Galeazzi and Monteggia forearm fracture. J R Soc Med 93:144-145
  4. Kontakis GM, Pasku D, Pagkalos J, Katonis PG (2008) The natural history of a mistreated ipsilateral Galeazzi and Monteggia lesion: report of a case 39 years post-injury. Acta Orthop Belg 74(4):546-549
  5. Lendemans S, Taeger G, Nast-Kolb D (2008) Dislocation fractures of the forearm. Galeazzi, Monteggia, and Essex-Lopresti injuries. Unfallchirurg 111(12):1005-1014 (quiz 1015-1006)
  6. Schemitsch EH, Richards RR (1992) The effect of malunion on functional outcome after plate fixation of fractures of both bones of the forearm in adults. J Bone Joint Surg Am 74(7):1068-1078
  7. Monteggia GB (1814) Instituzioni Chirrugiche, vol 5. Maspero, Milan
  8. Bado JL (1967) The Monteggia lesion. Clin Orthop Relat Res 50:71-86
  9. Jupiter JB, Leibovic SJ, Ribbans W, Wilk RM (1991) The posterior Monteggia lesion. J Orthop Trauma 5(4):395-402
  10. Penrose JH (1951) The Monteggia fracture with posterior dislocation of the radial head. J Bone Joint Surg 33B:65-73
  11. Nakamura K, Hirachi K, Uchiyama S, Takahara M, Minami A, Imaeda T et al (2009) Long-term clinical and radiographic outcomes after open reduction for missed Monteggia fracture-dislocations in children. J Bone Joint Surg Am 91(6):1394-1404
  12. Reckling FW (1982) Unstable fracture-dislocations of the forearm (Monteggia and Galeazzi lesions). J Bone Joint Surg Am 64(6):857-863
  13. Atesok KI, Jupiter JB, Weiss AP (2011) Galeazzi fracture. J Am Acad Orthop Surg 19(10):623-633
  14. Hughston JC (1957) Fracture of the distal radial shaft; mistakes in management. J Bone Joint Surg Am 39-A(2):249-264
  15. Moore TM, Klein JP, Patzakis MJ (1985) Results of compressionplating of closed Galeazzi fractures. J Bone Joint Surg Am 67(7):1015-1021
  16. Copuroglu C, Calori GM, Giannoudis PV (2013) Fracture nonunion: Who is at risk? Injury 44:1379-1382
  17. Macintyre NR, Ilyas AM, Jupiter JB (2009) Treatment of forearm fractures. Acta Chir Orthop Traumatol Cech 76(1):7-14
PDF Share
PDF Share

© Jaypee Brothers Medical Publishers (P) LTD.