He Tian, Wang Xin, Sun Shui, Zhou Lugang
Department of joint surgery, Shandong Provincial Hospital, Cheeloo College of Medicine, Shandong University, 324 Jingwuweiqi Road, Huaiyin, Jinan, Shandong, 250021, P. R. China.
Department of Orthopedics Surgery, Yantai Yuhuangding Hospital Affiliated to Medical College of Qingdao University, 20 East Yuhuangding Rd, Zhifu District, Yantai, 264400, Shandong, P. R. China.
BMC Musculoskelet Disord. 2021 Jan 6;22(1):20. doi: 10.1186/s12891-020-03880-4.
Ipsilateral Galeazzi fracture with elbow dislocation, namely the "floating ulna" injury, is a rare injury pattern. A few reports have described this type of injury and its treatment.
A 33-year-old female at 38 weeks gestational age presented with Galeazzi fracture and posterolateral elbow dislocation of the left upper extremity. The patient was treated with closed reduction of the elbow, open reduction, and internal fixation of the radial shaft fracture with a dynamic compression plate and K-wire stabilization of the unstable distal radioulnar joint. At the 12-month follow-up, the patient had no pain or signs of instability. Range of motion was 0-135° at the elbow, 70° extension and 80° flexion at the wrist, and 80° supination and 80° pronation at the forearm.
The "floating ulna" injury is a rare and special injury pattern with ipsilateral Galeazzi fracture and elbow dislocation. This type of injury was likely caused by significant amount of deforming force and the unique position of upper limb when the patient fell from a height of 1-2 m in high-energy trauma.
同侧盖氏骨折合并肘关节脱位，即“漂浮尺骨”损伤，是一种罕见的损伤模式。已有少数报告描述了这种损伤类型及其治疗方法。
一名38孕周的33岁女性，出现左上肢盖氏骨折并后外侧肘关节脱位。患者接受了肘关节闭合复位、桡骨干骨折切开复位内固定术，使用动力加压钢板固定，并对不稳定的下尺桡关节用克氏针进行稳定固定。在12个月的随访中，患者无疼痛或不稳定迹象。肘关节活动范围为0至135°，腕关节伸展70°、屈曲80°，前臂旋后80°、旋前80°。
“漂浮尺骨”损伤是一种罕见且特殊的损伤模式，为同侧盖氏骨折合并肘关节脱位。这种损伤类型可能是由高能量创伤中患者从1至2米高处坠落时产生的大量变形力以及上肢的独特位置所致。
