Shonnard P Y, DeCoster T A
University of New Mexico School of Medicine, Department of Orthopaedics and Rehabilitation, Albuquerque.
Orthop Rev. 1994 Sep;23(9):755-9.
We report the occurrence of a previously undescribed combined Monteggia and Galeazzi fracture pattern of the left forearm in an 8-year-old boy. Previous reports do not address the combined injury described in this article, which consists of a left radius shaft fracture with dislocation of the distal radioulnar joint, and a left ulna shaft fracture with anterior dislocation of the radiohumeral joint. An excellent result was obtained with closed reduction. Radiographic evaluation is crucial in these disorders for both diagnosis and for treatment decisions. A review of the literature is provided with specific emphasis toward the classifications, mechanisms of injury, diagnosis, associated injuries, and treatment.
我们报告了一名8岁男孩左前臂出现一种此前未描述过的孟氏骨折和盖氏骨折合并模式。既往报告未涉及本文所述的这种合并损伤,该损伤包括左桡骨干骨折伴下桡尺关节脱位,以及左尺骨干骨折伴肱桡关节前脱位。通过闭合复位取得了良好效果。影像学评估在这些疾病的诊断和治疗决策中都至关重要。本文提供了文献综述,特别强调了分类、损伤机制、诊断、相关损伤及治疗。