Forearm fracture: Difference between revisions
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==[[Monteggia Fracture-Dislocation]]==
==[[Monteggia Fracture-Dislocation]]==
===Background===
*Ulna fx (proximal third) + radial head dislocation
*Easy to overlook the radial head dislocation (will result in worse outcome)
===Clinical Features===
*Pain/swelling at elbow
*Radial head may be palpable in an anterolatera or posterolateral location
===Management===
*Consult ortho in the ED; likely requires ORIF


==[[Galeazzi Fracture-Dislocation]]==
==[[Galeazzi Fracture-Dislocation]]==

Revision as of 23:36, 7 March 2012

Background

  • Solitary fractures of the forearm are uncommon
    • Fractures usually occur at two or more sites or also involve a ligamentous injury

Radia Ulna Fracture

Isolated Radius Fracture (Proximal)

Isolated Ulna (Nightstick)

Monteggia Fracture-Dislocation

Galeazzi Fracture-Dislocation

Background

  • Radius fx (distal third) + distal radioulnar dislocation
  • Caused by FOOSH or direct blow

Clinical Features

  • Localized tenderness/swelling over distal radius/wrist

Diagnosis

  • PA: May only show slightly increased distal radioulnar joint space
  • Lateral: Ulna is displaced dorsally

Management

  • Consult ortho in the ED; likely requires ORIF

See Also

Fracture (Main)

Source

  • Tintinalli
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