[The false equivalent Galeazzi in children].
We report the case of a false Galeazzi equivalent in children. This injury is characterised by an epiphyseal detachment of the distal extremity of the ulna rather than a distal radio-ulnar dislocation. A 16-year-old patient was injured in a fall from a bike. Radiographs showed a fracture of the radial shaft with anterior angulation, together with a type II Salter-Harris epiphyseal injury at the level of the distal ulna. We were unable to perform a closed reduction under general anesthesia due to interposition of periosteum at the fracture site. Thus surgical management was the only option, which consisted of removing the offending periosteum and performing osteosynthesis of the radial shaft fracture with a plate, and the epiphyseal detachment with pins. After 10 months, we noted no bone growth disturbance, or any reduced mobility of the wrist. We will continue the follow-up to monitor bone growth disturbance of the distal extremity of the ulna.
Marzouki
A
A
Service de chirurgie orthopédique et de traumatologie, CHU Hassan II, 30000 Fès, Morocco. doc.amine@hotmail.com
Elibrahimi
A
A
Elmrini
A
A
Boutayeb
F
F
D000058:Accidental Falls; D000293:Adolescent; D001858:Bone Nails; D001860:Bone Plates; D004838:Epiphyses / Q000000981:diagnostic imaging / Q000293:injuries* / Q000601:surgery*; D005593:Fracture Fixation, Internal; D006801:Humans; D008297:Male; D011859:Radiography; D011885:Radius Fractures / Q000000981:diagnostic imaging / Q000601:surgery*; D014458:Ulna Fractures / Q000601:surgery*