Letts M, Rowhani N
Department of Surgery, Children's Hospital of Eastern Ontario, University of Ottawa, Canada.
J Pediatr Orthop. 1993 Sep-Oct;13(5):561-6.
Fracture of the distal radius with dislocation of the distal ulna, the so-called Galeazzi fracture, is uncommon in children. A variant, the "Galeazzi-equivalent fracture" involving a separation of the distal ulnar growth plate with displacement of the ulnar metaphysis was shown to be more common than the "classic" Galeazzi fracture in a 15-year review of this fracture pattern at the Children's Hospital of Eastern Ontario. An analysis of outcome of 10 fractures showed less favorable results in the six Galeazzi-equivalent fractures compared to the four classic Galeazzi injuries, with one child sustaining a complete growth plate arrest of the distal ulna secondary to an equivalent injury. Recognition of the Galeazzi-equivalent fracture pattern is sometimes difficult. To define the various fracture patterns in an attempt to facilitate diagnosis and management, a classification of the Galeazzi injury complex in children has been devised. Reduction of all Galeazzi injury patterns is best accomplished with the forearm in full supination in an above-elbow cast.
桡骨远端骨折合并尺骨远端脱位，即所谓的盖氏骨折，在儿童中并不常见。在安大略东部儿童医院对这种骨折类型进行的一项为期15年的回顾中发现，一种变异型，即涉及尺骨远端生长板分离并伴有尺骨干骺端移位的“类盖氏骨折”，比“经典”盖氏骨折更为常见。对10例骨折的结果分析显示，与4例经典盖氏损伤相比，6例类盖氏骨折的结果不太理想，其中1名儿童因类似损伤导致尺骨远端生长板完全停滞。类盖氏骨折类型的识别有时很困难。为了定义各种骨折类型以促进诊断和治疗，已设计出儿童盖氏损伤复合体的分类方法。所有盖氏损伤类型的复位最好在前臂完全旋前的情况下，用肘上石膏固定来完成。
