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高速机动车交通事故后双侧对称性旋前型盖氏骨折:一例报告

Bilateral symmetrical pronation type of Galeazzi fracture following high-speed motor traffic crash: A case report.

作者信息

Sivakumaran Dishanth, Pathinathan Kalaventhan, Madushanger S R, Gunawardena P M P, Dimantha W H D, Munidasa Dilshan

机构信息

Postgraduate Trainee in Orthopaedicsurgery, Postgraduate institute of Medicine, University of Colombo, Sri Lanka.

Postgraduate Trainee in Orthopaedicsurgery, Postgraduate institute of Medicine, University of Colombo, Sri Lanka.

出版信息

Int J Surg Case Rep. 2021 Aug;85:106284. doi: 10.1016/j.ijscr.2021.106284. Epub 2021 Aug 5.

Abstract

INTRODUCTION AND IMPORTANCE

Bilateral Galeazzi fracture is a rare occurrence following trauma. Anatomical reduction of the fracture and the distal radioulnar joint is mandatory for a good outcome.

CASE PRESENTATION

We present a 24-year-old patient with bilateral Galeazzi fracture following a high-velocity motorbike accident.

CLINICAL DISCUSSION

A motorcyclist presented with bilateral painful deformed forearms following a motor traffic crash. Radiographs of bilateral forearms showed bilateral symmetrical supination type (Type II) Galeazzi fractures. He has undergone open reduction and internal fixation of the bilateral radii. Bilateral distal radioulnar joints reduced spontaneously when the fracture of the radius reduced anatomically. The reduction of the fracture and the distal radioulnar joints was confirmed by postoperative radiographs.

CONCLUSION

Bilateral Galeazzi fracture is a rare entity following high-velocity injury. Disruption of the distal radial ulnar joint needs to address to achieve a good outcome. An awareness of this entity, early detection, and intervention of this condition may help to regain the full function of the forearm.

摘要

引言与重要性

双侧盖氏骨折是创伤后罕见的情况。骨折及桡尺远侧关节的解剖复位对于良好的预后至关重要。

病例介绍

我们报告一名24岁患者,在高速摩托车事故后发生双侧盖氏骨折。

临床讨论

一名摩托车手在机动车交通事故后出现双侧前臂疼痛、畸形。双侧前臂X线片显示双侧对称旋前型(II型)盖氏骨折。他接受了双侧桡骨切开复位内固定术。当桡骨骨折解剖复位时,双侧桡尺远侧关节自行复位。术后X线片证实了骨折及桡尺远侧关节的复位。

结论

双侧盖氏骨折是高速损伤后罕见的情况。桡尺远侧关节的损伤需要处理以获得良好的预后。认识到这种情况、早期发现并干预可能有助于恢复前臂的全部功能。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/67ef/8355905/033333397fa8/fx1.jpg

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