Combined Monteggia and Galeazzi fractures

Case contributed by Craig Hacking
Diagnosis certain

Presentation

Fall off a horse

Patient Data

Age: 35 years
Gender: Male

Comminuted fractures of the ulnar and radial midshafts with significant radial and volar angulation. Large ulnar butterfly fragment. Dorsally dislocated ulnar head (DRUJ). Abnormal radiocapellar alignment which requires formal elbow views.

Post backslab

x-ray

Short arm backslab. Ulnar and radial midshaft fractures maintain similar alignment.  Dorsally dislocated ulnar head (DRUJ). Volarly dislocated radial head (PRUJ) confirmed.

Case Discussion

Rare case of combined Monteggia and Galeazzi fracture-dislocations.

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