A Case of Irreducible Galeazzi Equivalent due to Interposition of ECU and EDQ in a Child.
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Fractures of the distal radius associated with the dislocation of the distal radioulnar joint are called Galeazzi fractures. In children, the disruption of the distal ulnar physis rarely occurs in place of the dislocation of the distal radioulnar joint. These cases are called Galeazzi equivalents.We report a case of a very rare irreducible Galeazzi equivalent. A 14-year-old boy fell down and injured his right wrist. X-ray showed that the fracture pattern of the distal radius was greenstick with volar angulation (apex dorsal). The distal ulnar physis was disrupted (Salter-Harris type II) and the proximal metaphyseal fragment displaced dorsally, but the distal radioulnar joint was intact. Closed reduction of the distal ulna failed and open reduction was carried out through a dorso-ulnar approach.It was revealed that the interposition of the extensor carpi ulnaris (ECU) and tendon of the extensor digitiquinti (EDQ) between the fragments hindered the reduction. After removing the interposed soft tissues, the fracture was reduced easily and could be fixed stably with a single Kirschner wire. Neither growth arrest nor loss of range of motion occured at 5 months after operation.
- 西日本整形・災害外科学会の論文
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