Kim Suezie, Ward James P, Rettig Michael E
Resident, NYU Hospital for Joint Diseases, New York.
Am J Orthop (Belle Mead NJ). 2012 Nov;41(11):E152-4.
Galeazzi fracture dislocations are fractures of the distal one-third of the radial diaphysis with traumatic disruption of the distal radioulnar joint (DRUJ). This injury results in subluxation or dislocation of the ulnar head. We present a case of a Galeazzi fracture with a volar dislocation of the DRUJ. Open reduction of the DRUJ with Kirschner wire fixation in pronation was necessary to reduce the joint and maintain anatomic alignment. Repair of the triangular fibrocartilage complex was also necessary to maintain stability of the DRUJ.
盖氏骨折脱位是桡骨干远端三分之一处骨折合并下尺桡关节(DRUJ)创伤性破坏。这种损伤会导致尺骨头半脱位或脱位。我们报告一例伴有下尺桡关节掌侧脱位的盖氏骨折病例。为了复位关节并维持解剖对位,需要在旋前位用克氏针固定下尺桡关节进行切开复位。修复三角纤维软骨复合体对于维持下尺桡关节的稳定性也是必要的。