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GALEAZZI FRACTURES
ANATOMY-ELBOW
Hinge joint.
Three bones form the elbow joint: the humerus
of the upper arm, and the paired radius and
ulna of the forearm.
The bony prominence at the very tip of the
elbow is the olecranon process of the ulna, and
the inner aspect of the elbow is called the
antecubital fossa.
Is a hinge-joint
Movements
Monteggia fracture
DIAGNOSIS
Displacement-3 types
FLEXION INJURY-10-15%
# ulna is angulated
with the convexity
posteriorly and the
head of radius is
dislocated
backwards.
EXTENSION INJURY-85-90%
Commonest type.
# ulna is angulated with covexity ant. and
laterally.
With head of radius dislocated forwards and
laterally.
Adduction injury
HUME FRACTURE
Seen in Children.
MECHANISM OF INJURY.
TREATMENT
CONSERVATIVE
OPERATIVE
CONSERVATIVE:
Children.
manipulation and plaster immobilisation.
But close watch needed-recurrence of
deformity.
OPERATIVE TREATMENT.
Advisable in adults.
Open redn of # ulna and rigid int. fixation
preferable with a plate..
Dislocation of head of radius red.
spontaneously when the deformity of ulna has
been reduced.
OPERATIVE TECHNIQUE.
COMPLICATIONS
1.UNREDUCED DISLOCATION OF HEAD
OF RADIUS.
2.TRAUMATIC OSSIFICATION AROUND
RADIAL HEAD.
3.PIN PALSY
4.CROSS UNION B/W RADIUS AND ULNA.
5.DISLOCATION OF LOWER END OF ULNA
6.UN-UNITED # OF ULNA.
Rx
Excision of displaced head of radius.
Prod inc. elbow flexion and good range of
pronation and supination.
NOT done in CHILDREN.removal of upper
radial epiphysisinequality of length of
forearm bones and cause further disl. of RU
joints both sup. and inf.
PIN PALSY
Un united # of ulna
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