Marzouki A, Elibrahimi A, Elmrini A, Boutayeb F
Service de chirurgie orthopédique et de traumatologie, CHU Hassan II, 30000 Fès, Morocco.
Chir Main. 2009 Feb;28(1):57-9. doi: 10.1016/j.main.2008.11.002. Epub 2008 Nov 25.
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.
我们报告了一例儿童假性盖氏（Galeazzi）等效损伤的病例。该损伤的特征是尺骨远端骨骺分离，而非桡尺远侧关节脱位。一名16岁患者因骑自行车摔倒受伤。X线片显示桡骨干骨折伴向前成角，同时尺骨远端存在Ⅱ型Salter-Harris骨骺损伤。由于骨折部位有骨膜嵌入，我们无法在全身麻醉下进行闭合复位。因此，手术治疗是唯一的选择，手术包括切除嵌入的骨膜，用钢板对桡骨干骨折进行骨接合术，并用钢针固定骨骺分离处。10个月后，我们未发现骨生长紊乱或腕关节活动度降低。我们将继续随访，以监测尺骨远端的骨生长紊乱情况。
