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Pronation type Galeazzi-equivalent fracture: A rare case report (CARE-compliant)

机译:校牙Galeazzi - 等效骨折:稀有病例报告(符合护理)

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Rationale: Galeazzi fractures are uncommon, and are less common in children than in adults. Galeazzi-equivalent fractures, a variant of the classic Galeazzi fractures, mostly occur in children or adolescents. Galeazzi equivalent fractures may commonly accompany distal radial fractures or injury of the epiphyseal plate of the distal ulna. Patient concerns: A 13-year-old man visited our emergency department after stumbling over a rock. Manual reduction and splinting was already done in a nearby medical center. Plain radiographs revealed fractures in the distal radius and fracture of the ulnar epiphyseal plate. Diagnosis: Plain radiographs showed Galeazzi-equivalent fracture. The result of primary closed reduction was not enough and there was still displacement of fracture. Interventions: Anatomical reduction of distal radius was fixed with a plate and screws, and K-wires were inserted percutaneously for reduction and fixation of ulnar fracture. Outcomes: Complete bone union was achieved and normal range of motion is shown 2 years postoperatively. The patient is able to perform daily activities and sport activities without any signs of ulnar growth arrest. Lessons: Open reduction is required in patients with malalignment, failure to reduce the DRUJ or maintain its reduction, or older ages which are hard to expect sufficient bone remodeling.
机译:理由:Galeazzi骨折不常见,并且儿童常见于成年人。 Galeazzi-AsdeDent骨折,经典Galeazzi骨折的变种,主要发生在儿童或青少年。 Galeazzi等效骨折可能通常伴随远端径向骨折或远端骨骼骨骼板的损伤。患者的担忧:一名13岁的男子在绊倒岩石后访问了急诊部门。手动减少和夹在附近的医疗中心已经完成。普通射线照片揭示了Ulnar骨骺板的远端半径和骨折中的骨折。诊断:普通射线照相显示Galeazzi-AsdeDent骨折。初级闭合减少的结果是不够的,仍然存在裂缝。干预:远端半径的解剖学减少用板子和螺钉固定,并经皮下插入K线,用于减少和固定尺骨骨折。结果:完成骨头联盟,术后2年显示正常运动范围。患者能够进行日常活动和体育活动,而无需溃疡增长逮捕的任何迹象。课程:律师患者需要开放减少,未能减少DRUJ或维持其减少,或者难以期望足够的骨质重塑的年龄。

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