Orthopedics-Online

Galeazzi fracture

Synonyms in the broadest sense

Forearm fracture, dislocation fracture, forearm fracture

English: Galeazzi´s fracture

Summary

The Galeazzi fracture belongs to the Monteggia - fracture to the dislocation fractures (dislocation fracture) of the Forearm. It breaks the spoke and the membrane that usually fixes the two forearm bones together. Usually this type of fracture occurs when falling on the forearm, which is with the hand an attempt is made to intercept. The therapy consists either in a plate which is placed on the bone to hold it together or by a nail that is inserted directly into the bone.

Terminological origin

The Galeazzi fracture is named after the Italian orthopedic surgeon Riccardo Galeazzi named.

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definition

The Galeazzi fracture belongs to the Forearm fractures. The forearm shaft fracture is a very common fracture in humans. More precisely, the Galeazzi fracture falls under the dislocation fractures. Dislocation means that the joint surfaces of the bones working together are no longer on top of one another, so, as the saying goes, they are "dislocated".

causes

This fracture is also common in children. Mainly due to a fall on the poor, which with the hand an attempt is made to intercept.

features

The broken bone is the spoke. In the Galeazzi fracture, there is a fracture of the radius near the wrist. However, the forearm does not only consist of a bone, but also of the ulna in addition to the spoke. These two bones are covered by a relatively tear-resistant but flexible membrane (Membrana interossea) connected with each other. In the Galeazzi fracture, this membrane tears. The cubit is dislocated. The dislocation takes place on the joint surface of the ulna / radius.

therapy

What the therapy of choice is seems to be discussed at the moment.

1. The therapy of Galeazzi fracture consists in a plate osteosynthesis of the spoke. Here the broken bone is put back together using a plate. The dislocated ulna spontaneously returns to its original position even without special therapy. The membrane that stretches between the ulna and the radius and was also affected by the fracture,

2. In other opinion, the method of choice as the surgical procedure seems to be the splinting of the bones with an intramedullary nail. In the case of open fractures or severe soft tissue damage, the fixator is external (a metal stabilizer, most of which is located outside the body. And attached to the bone with the help of nails) to discuss. According to these authors, plate fixation is reserved for exceptional indications.