There are several mnemonics for the difference between a Galeazzi and a Monteggia fracture-dislocation :. It is useful to note that it is the head of the non-fractured bone that is dislocated. GRIMUS helps to remember which forearm bone is fractured and whether the distal "inferior" or proximal "superior" part of the bone is involved. GRUesome MURder assists remembering which bone is firstly fractured and then secondly which is dislocated:. Please Note: You can also scroll through stacks with your mouse wheel or the keyboard arrow keys.
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Pediatric Fractures of the Forearm. Clin Orthop Relat Res ; : Canale, Beaty. Forearm Fractures. In: Cambpells WC. Operative Orthopaedics. Mosby Elsevier Forearm and distal radius fractures in children. J Am Acad Orthop Surg ; 6 3 : Comparison of intramedullary nailing to plating for both-bone forearm fractures in older children.
J Pediatr Orthop ; 28 4 : Use of elastic stable intramedullary nailing for treating unstable forearm fractures in children. J Trauma ; 65 1 : Open intramedullary Kirschner wire versus screw and plate fixation for unstable forearm fractures in children. J Orthop Surg Hong Kong ; 16 2 : Cheng JC.
Percutaneous Kirschner-wire pinning for severely displaced distal radial fractures in children. J Bone Joint Surg Br ; 77 5 : Translation of the radius as a predictor of outcome in distal radial fractures of children. J Bone Join Surg Br ; 75 5 : Interventions for Treating Wrist Fractures in Children. Treatment of Childhood unstable radius distal methaphysis fractures with closed reduction and percutaneous Kirschner wires.
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The Monteggia fracture is a fracture of the proximal third of the ulna with dislocation of the proximal head of the radius. It is named after Giovanni Battista Monteggia. There are four types depending upon displacement of the radial head : . Monteggia fractures may be managed conservatively in children with closed reduction resetting and casting , but due to high risk of displacement causing malunion, open reduction internal fixation is typically performed. Osteosynthesis open reduction and internal fixation of the ulnar shaft is considered the standard of care in adults. It promotes stability of the radial head dislocation and allows very early mobilisation to prevent stiffness. The elbow joint is particularly susceptible to loss of motion.
2009, Número 3
Pediatric Fractures of the Forearm. Clin Orthop Relat Res ; : Canale, Beaty. Forearm Fractures. In: Cambpells WC.
2012, Número 6
Average 4. Thank you for rating! Please vote below and help us build the most advanced adaptive learning platform in medicine. Just skip this one for now. Definitive management of this injury involves the following: Review Topic Tested Concept. Perform closed reduction of the radius, then immobilize the forearm in a long arm cast in supination.