How do you remember Monteggia vs Galeazzi fracture?
GRUesome MURder assists remembering which bone is firstly fractured and then secondly which is dislocated: G: Galeazzi R: radius fracture U: ulna dislocation. M: Monteggia U: ulna fracture R: radial head dislocation.
What is Monteggia variant fracture?
Purpose: Monteggia variant defined as Monteggia fracture dislocation with radial head or neck fracture, coronoid fracture, ulnohumeral joint dislocation or combination of these injuries.
How do you prevent a Galeazzi fracture?
The approach is usually conservative with closed reduction and splinting. Above-elbow casting in supination is the preferred immobilization. Irreducible and unstable injuries, as well as variants of the Galeazzi fracture, may require surgical intervention with open reduction and internal fixation (ORIF).
What is a Barton fracture?
The Barton fracture is a fracture of the distal radius which extends through the dorsal aspect of the articular surface with associated dislocation of the radiocarpal joint.
How common are monteggia fractures?
Monteggia fractures account for approximately 1% to 2% of all forearm fractures. Distal forearm fractures are far more frequent than midshaft forearm fractures, which occur in about 1 to 10 per 10,000 people per year.
What type of fracture is a monteggia?
A Monteggia fracture-dislocation refers to dislocation of the radial head (proximal radioulnar joint) with fracture of the ulna.
How does a Galeazzi fracture happen?
What causes this type of fracture? One of the main causes of a Galeazzi fracture is falling. A person who stretches out an arm for protection before hitting the ground risks breaking a bone in the wrist or arm. The impact can also cause the ulna to become dislocated.
What is the difference between Galeazzi and Monteggia fractures?
A Galeazzi fracture is a fracture of the distal radius with dislocation of the distal radioulnar joint (DRUJ). MUGR (pronounced “MUGGER”): identifies the fractured bone. ‘A’ is proximal (Monteggi A) – Radial head dislocation and proximal ulna fracture
Can a Galeazzi fracture be a druj fracture?
Galeazzi Fractures • Recognizing the injury may be difficult when subtle • Should be suspected in all isolated radial shaft fractures, however: • DRUJ injury NOT present in majority of isolated radial shaft fractures (Ring, et al Isolated radial shaft fractures are more common than Galeazzi fractures.
What are the dislocations of mugr Monteggia?
MUGR Monteggia involves fracture of the ulna with proximal radial dislocation Galeazzi involves fracture of the radius with distal radioulnar dislocation
What is the role of IOM in Galeazzi fractures?
Galeazzi Fractures • Importance of interosseous membrane (IOM) to DRUJ stability is emphasized by contribution of distal oblique bundle (DOB), present in 40 % of specimens studied (Moritomo H. The distal interosseous membrane: current concepts in wrist anatomy and biomechanics.