Orthopedic pitfalls in the ED: Galeazzi and Monteggia fracture-dislocation.
Occult dislocations at the wrist and elbow frequently accompany forearm fractures. When left unrecognized and untreated, these injuries lead to a high incidence of long-term functional disability and chronic pain. Emergency medicine practitioners need to be vigilant for both Galeazzi (distal radius fracture with radioulnar joint disruption), and Monteggia (proximal ulna fracture with radial head dislocation) fracture-dislocations. This review article examines the clinical presentation, diagnostic techniques, and management options applicable to the emergency practitioner.
Perron
A D
AD
Department of Emergency Medicine, University of Virginia Health System, Charlottesville, VA.
Hersh
R E
RE
Brady
W J
WJ
Keats
T E
TE
D000058:Accidental Falls; D000328:Adult; D001642:Bicycling / Q000293:injuries; D005500:Follow-Up Studies; D005593:Fracture Fixation, Internal; D006801:Humans; D004204:Joint Dislocations / Q000175:diagnosis / Q000000981:diagnostic imaging / Q000628:therapy; D008297:Male; D009011:Monteggia's Fracture / Q000175:diagnosis / Q000000981:diagnostic imaging / Q000601:surgery; D011859:Radiography; D011885:Radius Fractures / Q000175:diagnosis / Q000000981:diagnostic imaging / Q000601:surgery; D013997:Time Factors; D014955:Wrist Joint