Strategies in Trauma and Limb Reconstruction

Register      Login

VOLUME 7 , ISSUE 2 ( August, 2012 ) > List of Articles

CASE REPORT

Bilateral Galeazzi fracture-dislocations: a case report of early rehabilitation

Shingo Komura, Hidehiko Nonomura, Takashi Satake, Tatsuo Yokoi

Keywords : Galeazzi fracture-dislocations, Open reduction and internal fixation, Distal radioulnar joint, Rehabilitation

Citation Information : Komura S, Nonomura H, Satake T, Yokoi T. Bilateral Galeazzi fracture-dislocations: a case report of early rehabilitation. 2012; 7 (2):99-104.

DOI: 10.1007/s11751-012-0136-5

License: CC BY-NC-SA 4.0

Published Online: 01-12-2012

Copyright Statement:  Copyright © 2012; The Author(s).


Abstract

A 24-year-old man had bilateral Galeazzi fracture-dislocations due to a motorcycle accident. The right radius fracture was a simple fracture and was fixed with a limited contact dynamic compression plate. The left radius fracture was a comminuted fracture and was fixed with a long locking compression plate in the bridging plate fashion while maintaining reduction with a temporary external fixator. Postoperative computed tomography under passive rotation of both forearms showed acceptable congruency of the distal radioulnar joints, and early rehabilitation of forearm rotation was started at 2 weeks after the operation. At 13-month follow-up, bone union of both fractures was achieved, and forearm motion was almost restored to normal. Moreover, no subluxation or dislocation of either distal radioulnar joint was observed.


PDF Share
  1. Borens O, Chehab EL, Roberts MM, Helfet DL, Levine DS (2006) Bilateral Galeazzi fracture-dislocations. Am J Orthop (Belle Mead NJ) 35:369-372
  2. Mikic ZD (1975) Galeazzi fracture-dislocations. J Bone Joint Surg Am 57:1071-1080
  3. Reckling FW (1982) Unstable fracture-dislocations of the forearm (Monteggia and Galeazzi lesions). J Bone Joint Surg Am 64:857-863
  4. Sebastin SJ, Chung KC (2010) A historical report on Riccardo Galeazzi and the management of Galeazzi fractures. J Hand Surg Am 35:1870-1877
  5. Adams BD (2005) Distal radioulnar joint instability. In: Green DP (ed) Operative hand surgery, 5th edn. Churchill Livingstone, New York, pp 618-619
  6. Giannoulis FS, Sotereanos DG (2007) Galeazzi fractures and dislocations. Hand Clin 23:153-163
  7. Gwinn DE, O'Toole RV, Eglseder WA (2010) Early motion protocol for select Galeazzi fractures after radial shaft fixation. J Surg Orthop Adv 19:104-108
PDF Share
PDF Share

© Jaypee Brothers Medical Publishers (P) LTD.