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慢性盖氏骨折脱位：一例报告

Chronic Galeazzi Fracture-Dislocation: A Case Report.

作者信息

Alajmi Turki Abdullah S, Altuwaijri Mohammad Suhail, Alnaqa Hossam Hamad

机构信息

Department of Orthopaedics, Prince Mohammed bin Abdulaziz Hospital, Riyadh, Saudi Arabia.

出版信息

J Orthop Case Rep. 2020 Nov;10(8):37-40. doi: 10.13107/jocr.2020.v10.i08.1850.

DOI:10.13107/jocr.2020.v10.i08.1850
PMID:33708708
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7933643/
Abstract

INTRODUCTION

Galeazzi fracture-dislocation is a unique entity of forearm fractures since they involve a fracture of the radius shaft, along with the dislocation of the distal radioulnar joint, the gold standard of treatment for adults is open reduction and internal fixation with or without repair or pinning of the DRUJ.

CASE REPORT

We present a case of a 27-year-old male with a neglected Galeazzi fracture for over 2 months, the patient was treated with open reduction and internal fixation without the need of a salvage procedure and achieved excellent outcomes.

CONCLUSION

Galeazzi fractures are not uncommon, and any forearm fracture requires complete radiographic and clinical assessment to avoid dreadful complications of delayed management.

摘要

引言

盖氏骨折脱位是前臂骨折中的一种独特类型，因为它涉及桡骨干骨折以及下尺桡关节脱位，成人治疗的金标准是切开复位内固定，可选择修复或固定下尺桡关节，也可不进行修复或固定。

病例报告

我们报告一例27岁男性，其盖氏骨折被漏诊超过2个月，该患者接受了切开复位内固定治疗，无需补救手术，取得了良好的治疗效果。

结论

盖氏骨折并不罕见，任何前臂骨折都需要进行全面的影像学和临床评估，以避免延误治疗带来的严重并发症。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d18d/7933643/38652a2359c0/JOCR-10-37-g010.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d18d/7933643/57025fba5edc/JOCR-10-37-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d18d/7933643/5d5afa16ef0c/JOCR-10-37-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d18d/7933643/d3b486578dde/JOCR-10-37-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d18d/7933643/3363cffbd561/JOCR-10-37-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d18d/7933643/1503dcbb5d46/JOCR-10-37-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d18d/7933643/a01492348cb7/JOCR-10-37-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d18d/7933643/a7513b51f349/JOCR-10-37-g007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d18d/7933643/960b6a82b780/JOCR-10-37-g008.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d18d/7933643/609779c0dfda/JOCR-10-37-g009.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d18d/7933643/38652a2359c0/JOCR-10-37-g010.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d18d/7933643/57025fba5edc/JOCR-10-37-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d18d/7933643/5d5afa16ef0c/JOCR-10-37-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d18d/7933643/d3b486578dde/JOCR-10-37-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d18d/7933643/3363cffbd561/JOCR-10-37-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d18d/7933643/1503dcbb5d46/JOCR-10-37-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d18d/7933643/a01492348cb7/JOCR-10-37-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d18d/7933643/a7513b51f349/JOCR-10-37-g007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d18d/7933643/960b6a82b780/JOCR-10-37-g008.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d18d/7933643/609779c0dfda/JOCR-10-37-g009.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d18d/7933643/38652a2359c0/JOCR-10-37-g010.jpg

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本文引用的文献

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Irreducible Galeazzi Fracture-Dislocations.不可复位的盖氏骨折脱位。
Hand (N Y). 2019 Mar;14(2):249-252. doi: 10.1177/1558944717744334. Epub 2017 Nov 29.
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Interosseous Membrane and Its Effect on the Distal Radioulnar Joint.骨间膜及其对桡尺远侧关节的影响。
J Wrist Surg. 2016 Aug;5(3):171. doi: 10.1055/s-0036-1586170.
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Galeazzi fractures: Is DRUJ instability predicted by current guidelines?盖氏骨折：现行指南能否预测下尺桡关节不稳？
Injury. 2016 Jul;47(7):1472-7. doi: 10.1016/j.injury.2016.04.003. Epub 2016 Apr 20.
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Bilateral Galeazzi fracture-dislocations: a case report of early rehabilitation.双侧加莱阿齐骨折脱位：早期康复病例报告
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