Is an extra articular transverse fracture that is palmarly displaced and can be thought of as a reverse colles fracture. A colles fracture describes an extraarticular fracture of the distal radius with dorsal. Apr 02, 2020 the galeazzi fracture injury pattern was first described by cooper in 1842, 92 years before galeazzi reported his results. It is caused by a direct blow to the dorsal forearm or falling onto flexed wrists, as opposed to a colles fracture. Kozin md, in principles and practice of wrist surgery, 2010. The colles fractures are the most common type of wrist fracture, accounting for 90% of all distal radius fractures. Galeazzi fracture an overview sciencedirect topics.
Galeazzi fracture consists of a fracture of the radius with angulation and associated dislocation of the distal ulna. The monteggia fracture is a fracture of the proximal third of the ulna with dislocation of the proximal head of the radius. The full text of this article is available as a pdf. A line drawn through the shaft of the radius blue line should always intersect the capitellum. Fractura monteggia galeazzi codo articulaciones free 30. Radiusulna, distal, partial articular fracture of radius, volar rim reverse bartons, goyrand smith ii 23b3 1 radioulnar dislocation fracture of styloid process 2 simple fracture of ulnar neck. David, 1994 terdapat 2 tipe yaitu tipe ekstensi lebih sering dan tipe fleksi. A galeazzi fracture is a fracture of the distal radius with dislocation of the distal radioulnar joint druj. Fraktur smith adalah fraktur pada radius distal dengan fragmen distal displaced ke volar dimana garis fraktur tidak.
This injury results from a direct blow on the dorsum of the hand or wrist or from a hyperflexion injury. Galeazzi fracturedislocation radiology reference article. Exactly what treatment will be used depends on how severe the injury is but the conservative treatment is to put a cast on the arm in order to immobilize the arm while the joint and ulna have an opportunity to heal. Please click on the red subscribe button to get new medical videos every week, and click on the bell. The galeazzi fracturedislocation, as shown on the next page, is an injury pattern involving a radial shaft fracture with associated dislocation of the distal radioulnar joint. A galeazziequivalent fracture is a distal radial fracture with a distal ulnar. Cedera ini relatif jarang terjadi, kurang dari 5% dari semua fraktur lengan bawah. May 12, 20 fraktur colles merupakan kirakira 815% dari seluruh fraktur dan 60% dari fraktus radius. Monteggia fracture galeazzi fracture distal radial fracture colles fracture isolated ulnarradius monteggia bum. Berdasarkan pengertian fraktur colles tersebut, sekilas tampak mirip seperti fraktur smith.
Fraktur colles adalah fraktur pada radius distal dengan fragmen distal displaced kedorsal dimana garis fraktur tidak melewati wrist joint 4. In 1967, bado introduced the concept of a monteggia lesion and presented a classification into four types depending on the direction of the radial heads dislocation and the angulation of the fracture of the ulna. Tipe fraktur dapat bersifat green stick, kompresi buckle atau torus atau total 4. There are four types, based on the direction that the radial head is displaced bado classification. A less common type of galeazzi fracture occurs when there is volar displacement of. A smiths fracture, is a fracture of the distal radius. A bartons fracture is an intraarticular fracture of the distal radius with dislocation of the intraarticular component distinguishes this fracture from a smith s or a colles. The galeazzi fracture is a fracture of the distal third of the radius with dislocation of the distal radioulnar joint. Yang membedakan adalah arah angulasi tulang tersebut. A bartons fracture is an intraarticular fracture of the distal radius with dislocation of the intraarticular component distinguishes this fracture from a smith. Chauffeur fracture colles fracture smith fracture barton fracture reverse. Tapi pada kenyataannya terdapat osteogenesis meduler dan sedikit pembentukan kalus periosteum. Jika terjadi angulasi ke dorsal, itulah fraktur colles.
Pasien jatuh dengan tangan menahan badan sedang posisi tangan dalam keadaan volar fleksi pada pergelangan tangan dan pronasi. Fraktur colles merupakan kirakira 815% dari seluruh fraktur dan 60% dari fraktus radius. Fraktur dislokasi ke arah anterior volar, karena itu sering disebut reverse colles fracture. Perform open reduction and internal fixation of the radius, then assess the proximal radioulnar joint for instability, and percutaneously fix the proximal radioulnar joint if instability persists. Grimus helps to remember which forearm bone is fractured and whether the distal inferior or proximal superior part of the bone is involved. Broken ulnar monteggia fracture of ulna with dislocation of the radial head. Galeazzi and monteggia fractures are both fractures in which there is a fracture with shortening of one of the two bones of the forearm with dislocation of the other bone galeazzi fracture photo o mechanism.
Definisi fraktur yang mengenai tulang radius ulna karena rudapaksa termasuk fraktur dislikasi proximal atau distal radioulnar joint fraktur dislokasi galeazzi dan montegia fraktur galeazzi. The galeazzi fracturedislocation, as shown on the next page, is an injury pattern involving a radial shaft fracture with associated dislocation of the distal radioulnar joint druj. Doc fraktur tulang dan fraktur colles novita iswanto. Pada tipe ekstensi gaya yang terjadi mendorong ulna ke. Gejala klinis terkait dengan tipe fraktur dan keparahan, kemungkinan mengalami pembengkakan siku, deformitas, krepitasi parestesi atau baal. It is useful to note that it is the head of the nonfractured bone that is dislocated. With picmonic, get your life back by studying less and.
A galeazzi fracture is a fracture of the distal radius with dislocation of the distal. The galeazzi fracture is an unstable fracturedislocation of the forearm that includes a fracture of the shaft of the radius and a dislocation of the distal radioulnar joint druj. Their treatment in almost all cases should be closed reduction and immobilization with a cast. Galeazzi fracturedislocations consist of fracture of the distal part of the radius with dislocation of distal radioulnar joint and an intact ulna.
Monteggia fracture pictures, symptoms, causes, diagnosis. Smith s fractures are less common than colles fractures. Fraktur monteggia fraktur galeazzi fraktur colles fraktur smith 10. Displacing the distal radius and injuring the ulnar nerve.
Recebe o nome em homenagem a giovanni battista monteggia. Pada jenis fraktur di extremitas superior regio antebrachii ini, ada dua komponen yang harus diperhatikan. Smith s fracture is a reverse colles fracture and is sometimes referred to as a garden spade deformity. These include, in children, a fracture of the radial shaft associated with a separation of the distal ulnar epiphysis without a. Akibatnya, bagian punggung tangan anda akan tampak terangkat. Klasifikasi fraktur monteggia readingfirst digital.
Galeazzi fracture dislocation galeazzi fracture reverse monteggia fracture dislocation. Fraktur montegia fraktur sepertiga proksimal ulna disertai dislokasi ke anterior, lateral, posterior dari kapitulum radius penyebabnya biasanya trauma langsung terhadap ulna. It classically involves an isolated fracture of the junction of the distal third and middle third of the radius with associated subluxation or dislocation of the distal radioulnar joint. It is a distal metaphyseal fracture with volar displacement and angulation.
Fraktur monteggia paling tepat digunakan untuk merujuk terhadap dislokasi dari sendi radioulnar proksimal yang berhubungan dengan fraktur lengan bawah. A colles fracture is a complete fracture of the radius bone of the forearm close to the wrist resulting in an upward posterior displacement of the radius and obvious deformity. Dezember 1995 am unfallkrankenhaus, linz, mit frischen monteggiafrakturen behandelt worden waren, wurden. Monteggia fracturedislocation type 1 characterized by a proximal ulnar fracture with anterior dislocation of the radial. Scribd is the worlds largest social reading and publishing site. They consist of a fracture of the distal radial metaphyseal region with dorsal angulation and impaction, but without the involvement of the articular surface. Prevalensi kejadian fraktur colles, umur atas 50 tahun wanita lebih banyak dari pada pria 5.
Monteggialike lesions treatment strategies and oneyear. Dec 15, 2015 monteggia injuries account for only 25% of all proximal forearm fractures. There are several mnemonics for the difference between a galeazzi and a monteggia fracturedislocation. Galeazzi fracturedislocations consist of fracture of the distal part of the radius with. Fraktur monteggia definisi fraktur sepertiga proksimal ulna disertai dislokasi ke anterior dari kapitulum radius1,2. Bedanya, fraktur colles menyebabkan tulang radius menonjol ke arah belakang dorsal dari posisi normal. Learningradiology galeazzi and monteggia fracturedislocations. It is commonly called a broken wrist in spite of the fact that the distal radius is the location of the fracture, not the carpal bones of the wrist. Fraktur os ulna fraktur os ulna atau fraktur sepertiga proksimal ulna disertai dengan dislokasi kaput radii sering disebut juga fraktur monteggia. Galeazzi variant associated with interposition of the ulnar neurovascular bundle.
This article will name and focus on the three most common eponymous distal radius fracture types, the colles fracture, the smith s fracture, and the bartons fracture. Colles, smiths, isolated radial shaft fractures, both bone fractures the colles fracture is the most common fracture of the distal radius in. The natural history of a mistreated ipsilateral galeazzi and monteggia lesion. A monteggia fracture is a fracture of the proximal ulna with dislocation of the radial head. Monteggia fracture consists of a fracture of the ulna red arrow with angulation and associated dislocation of the radial head. Distal fracture of the radius due to falling on a dorsiflexed wrist. Fraktur radius, fraktur ulna, fraktur colles elbow. Fraktur monteggia fraktur galeazzi fraktur colles fraktur smith. It is caused by a direct blow to the dorsal forearm or falling onto flexed wrists, as opposed to a colles fracture which occurs as a result of falling onto wrists in extension.
The most common type of pediatric galeazzi fracture occurs when there is dorsal displacement of the distal radius fracture and volar displacement of the distal ulna fig. Besarnya pembengkakan tergantung pada keparahan dari fraktur dan lama terjadinya trauma. Galeazzi and monteggia fracturedislocations mnemonic. Colles fractures are very common extraarticular fractures of the distal radius that occur as the result of a fall onto an outstretched hand. Unduh sebagai pptx, pdf, txt atau baca online dari scribd.
Fraktur monteggia, galeazzi, colles dan smith ryan gustomo 112014291. The irish surgeon abraham colles described drfs in the volume of the edinburgh medical surgical journal. A smith s fracture, is a fracture of the distal radius. Forearm fracture such as galeazzi or monteggia fractures. Pada fraktur colles dan smith, yang terjadi hanyalah proses fraktur radius. Fall on an outstretched hand with the forearm in excessive pronation hyperpronation injury. The galeazzi fracturedislocation, as shown in the image below, is an injury pattern involving a radial shaft fracture with associated dislocation of the distal radioulnar joint druj.
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