A widely displaced Galeazzi-equivalent lesion with median nerve compromise.
We present the case of a 14-year-old boy with a right distal radial fracture accompanied by a severely displaced complete distal ulnar physeal separation and associated median nerve compromise. This injury is known as Galeazzi-equivalent lesion in children and is an extremely rare injury associated with growth arrest. Recognition of the lesion can be difficult but wide displacement may be associated with other significant injuries such as neurovascular compromise. Prompt intervention reversed the neurological symptoms. At 10-month postoperation there was neither growth arrest nor loss of motion. Complete separation of the ulna physis remains often because of soft tissue interposition or capsule problems and prompt reduction is recommended in the literature as a priority.
Department of Trauma and Orthopaedics, Queen's Hospital, Burton-on-Trent, UK. galanop.ilias@gmail.com
Ilias
I
Galanopoulos
Quentin
Q
Fogg
Neil
N
Ashwood
Katherine
K
Fu
D000293:Adolescent; D006132:Growth Plate / Q000601:surgery; D006801:Humans; D008297:Male; D008475:Median Nerve / Q000293:injuries* / Q000601:surgery; D011885:Radius Fractures / Q000150:complications* / Q000601:surgery; D000072042:Salter-Harris Fractures; D014458:Ulna Fractures / Q000150:complications* / Q000601:surgery