Giannoulis Filippos S, Sotereanos Dean G
Department of Orthopaedic Surgery, Allegheny General Hospital, 1307 Federal North Street, Pittsburgh, PA 15212, USA.
Hand Clin. 2007 May;23(2):153-63, v. doi: 10.1016/j.hcl.2007.03.004.
In 1934, fractures of the middle and distal third of the radius associated with instability of the distal radial ulnar joint (DRUJ) were described by Galeazzi. This type of lesion is characterized by its unstable nature and the need for open reduction and internal fixation to achieve a satisfactory functional outcome. A high index of suspicion should be maintained by the surgeon, and a thorough examination for instability of the DRUJ must be conducted. The marked instability of this fracture-dislocation complex is further enhanced by the disruption of the triangular fibrocartilage complex, either with or without ulna styloid fracture. Treatment in adults is surgical, and both bone and soft tissue injuries should be addressed.
1934年,加莱阿齐描述了伴有桡尺远侧关节(DRUJ)不稳定的桡骨中、远1/3骨折。这类损伤的特点是其不稳定的性质以及需要切开复位内固定以获得满意的功能结果。外科医生应保持高度的怀疑指数,并且必须对DRUJ的不稳定进行全面检查。无论有无尺骨茎突骨折,三角纤维软骨复合体的破坏都会进一步加剧这种骨折脱位复合体的明显不稳定。成人的治疗是手术治疗,应同时处理骨和软组织损伤。