What is the difference between Galeazzi and Monteggia fracture?
Monteggia fractures and Monteggia variants are fractures of the proximal 1/3 ulna with concomitant proximal radioulnar joint (PRUJ) disruption (evident by radiocapitellar subluxation or dislocation). Galeazzi fractures are fractures of the radial shaft with concomitant dislocation of the distal radioulnar joint (DRUJ).
How do you remember Galeazzi and Monteggia fracture?
GRUesome MURder assists remembering which bone is firstly fractured and then secondly which is dislocated:
- G: Galeazzi R: radius fracture U: ulna dislocation.
- M: Monteggia U: ulna fracture R: radial head dislocation.
Why is Galeazzi fracture called fracture of necessity?
Galeazzi fractures are best treated with open reduction of the radius and the distal radio-ulnar joint. It has been called the “fracture of necessity,” because it necessitates open surgical treatment in the adult. Nonsurgical treatment results in persistent or recurrent dislocations of the distal ulna.
Which nerve is damage in Monteggia fracture?
Posterior interosseous nerve palsy is the most common nerve injury in Monteggia fracture-dislocations,. Most of these injuries are neuropraxia and recover slowly after the anatomical reduction of the radial head.
What causes a Galeazzi fracture?
Blunt trauma is what typically causes a Galeazzi fracture. Whether you’re in a car crash or experience a fall, if you stretch out your arm for protection just before impact, you increase the risk of fracturing a bone in your arm or wrist. You also risk dislocation of the ulna at the DRUJ.
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.
Does Monteggia fracture need surgery?
Anatomic reduction of the ulna is usually required before radial head reduction. Unless the fracture is open, surgical treatment is performed on an elective basis. Whereas most adults require operative treatment, most pediatric fractures are treated with closed reduction.
Who was Monteggia?
Giovanni Battista Monteggia was born in Laverne on the 8th of August 1762. Monteggia started his education in the School of Surgery at the Hospital Maggiore in Milano in 1779. This hospital was called “Big House”and it is one of the oldest medical institutions in Italy. He passed exam in surgery in 1781.