A Rare Case of Fracture of Radius Associated with Dislocation of Both Distal and Proximal Radio-Ulnar Joint

• 作者: Anshuman Dutta Arun Kumar Sipani Arup Kumar Daolagupu Paragjyoti Gogoi Prasanta Sonowal
• 来源期刊: 临床医学病理报告(英文)
• 学科: 医学
• 关键词: FOREARM Bones MONTEGGIA FRACTURE Galeazzi FRACTURE DRUJ PROXIMAL Radio-Ulnar JOINT
• 年，卷（期）: 2014,（6）
• 页码范围: 367-372
• 页数: 6页
• 分类号: R73

摘要

Single bone forearm fractures are usually associated with dislocation of one radio-ulnar joint. The association of ulnar fractures with dislocation of proximal radio-ulnar joint and radius fractures with distal radio-ulnar joint is well described. Classically they are better known as Monteggia and Galeazzi fracture dislocations respectively. These peculiar presentations are attributed to intricate relationship of the forearm bones joined together as a unit by two radio-ulnar joints at proximal and distal ends and the interosseous membrane in the middle part. However, simultaneous dislocation of the both radio-ulnar joints associated with fracture of single bone is a very rare event. Literature search does not reveal a single case of such type. We are presenting here a case of fracture shaft of radius associated with dislocation of both proximal and distal radio-ulnar joints. The patient was managed by open reduction and fixation of the radius by a compression plate and the dislocations were reduced by closed method and stabilized with small K wires.