Guidelines

How do you remember Monteggia vs Galeazzi fracture?

How do you remember Monteggia vs Galeazzi fracture?

Use “A to Z” to remember the location of the fracture-dislocation: ‘A’ is proximal (MonteggiA) – Radial head dislocation and proximal ulna fracture. ‘Z’ is distal (GaleazZi) – Distal radioulnar joint dislocation and distal radius fracture.

What is a Monteggia variant fracture?

Monteggia fracture was originally described by Giovanni Batista Monteggia as an anterior dislocation of the head of radius and fracture of the proximal ulna1. The complexity of the mechanism of this injury has been described by various authors but Bado’s classification remains the most commonly used1.

How do I remember my Galeazzi fracture?

Mnemonics

  1. G: Galeazzi. R: radius. I: inferior.
  2. M: Monteggia. U: ulna. S: superior.

How do you prevent Monteggia?

– posterior Monteggia frx is reduced by applying traction to forearm w/ the forearm in full extension; – immobilization is continued until there is union of the ulna; – this ordinarily requires 6-10 wks depending on the age of pt; – ref: Repair of Bado II Monteggia Fracture: Case Presentation and Surgical Technique.

What causes Monteggia fracture?

Monteggia fractures are primarily associated with falls on an outstretched hand with forced pronation. If the elbow is flexed, the chance of a type II or III lesion is greater. In some cases, a direct blow to the forearm can produce similar injuries.

What is the difference between Galeazzi and Monteggia fractures?

A Galeazzi fracture is a fracture of the distal radius with dislocation of the distal radioulnar joint (DRUJ). MUGR (pronounced “MUGGER”): identifies the fractured bone. ‘A’ is proximal (Monteggi A) – Radial head dislocation and proximal ulna fracture

When does a Galeazzi fracture occur in a child?

Galeazzi fracture-dislocations consist of fracture of the distal part of the radius with dislocation of distal radioulnar joint and an intact ulna. A Galeazzi-equivalent fracture is a distal radial fracture with a distal ulnar physeal fracture 2. Galeazzi fractures are primarily encountered in children, with a peak incidence at age 9-12 years 3 .

What are the dislocations of mugr Monteggia?

MUGR Monteggia involves fracture of the ulna with proximal radial dislocation Galeazzi involves fracture of the radius with distal radioulnar dislocation

Who was the first person to describe Monteggia fractures?

HISTORY In 1814 Giovanni Batista Monteggia, a surgical pathologist and public health official in Milan, first described Monteggia fractures.