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Published in: Strategies in Trauma and Limb Reconstruction 2/2017

Open Access 01-08-2017 | Case Report

Combined open bipolar Monteggia and Galeazzi fracture: a case report with a 1-year follow-up

Authors: Christos Koutserimpas, Georg Tsironis, Antonios Salasidis, Phillipp Swatoch, Konstantin Tsironis

Published in: Strategies in Trauma and Limb Reconstruction | Issue 2/2017

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Abstract

Monteggia and Galeazzi fractures account for 1–5% of total forearm fractures. A combined Monteggia and Galeazzi fracture is an extremely rare injury. We present a case of a Gustillo-Henderson type 2 open combined bipolar Monteggia and Galeazzi fracture, as well as fracture of the ulnar coronoid process in a 49-year old male. The patient was treated surgically, with open reduction and internal fixation. At 6 months postoperative, he was diagnosed with pseudarthrosis and underwent surgery with autologous bone grafting from the iliac crest. At the 1-year follow-up, the patient presented an extension deficit of 5° in elbow, a 15° deficit in pronation and 20° deficit in supination of the wrist. The patient continues to work as a painter without significant problems in his everyday routine and he is still regularly engaged in cycling. Additionally we provide a historical background of these injuries.
Literature
1.
go back to reference Goldberg HD, Young JW, Reiner BI, Resnick CS, Gillespie TE (1992) Double injuries of the forearm: a common occurrence. Radiology 185(1):223–227CrossRefPubMed Goldberg HD, Young JW, Reiner BI, Resnick CS, Gillespie TE (1992) Double injuries of the forearm: a common occurrence. Radiology 185(1):223–227CrossRefPubMed
2.
go back to reference Maeda H, Yoshida K, Doi R, Omorio O (2003) Combined Monteggia and Galeazzi fractures in a child: a case report and review of the literature. J Orthop Trauma 17(2):128–131CrossRefPubMed Maeda H, Yoshida K, Doi R, Omorio O (2003) Combined Monteggia and Galeazzi fractures in a child: a case report and review of the literature. J Orthop Trauma 17(2):128–131CrossRefPubMed
3.
4.
go back to reference Kontakis GM, Pasku D, Pagkalos J, Katonis PG (2008) The natural history of a mistreated ipsilateral Galeazzi and Monteggia lesion: report of a case 39 years post-injury. Acta Orthop Belg 74(4):546–549PubMed Kontakis GM, Pasku D, Pagkalos J, Katonis PG (2008) The natural history of a mistreated ipsilateral Galeazzi and Monteggia lesion: report of a case 39 years post-injury. Acta Orthop Belg 74(4):546–549PubMed
5.
go back to reference Lendemans S, Taeger G, Nast-Kolb D (2008) Dislocation fractures of the forearm. Galeazzi, Monteggia, and Essex-Lopresti injuries. Unfallchirurg 111(12):1005–1014 (quiz 1015–1006) CrossRefPubMed Lendemans S, Taeger G, Nast-Kolb D (2008) Dislocation fractures of the forearm. Galeazzi, Monteggia, and Essex-Lopresti injuries. Unfallchirurg 111(12):1005–1014 (quiz 1015–1006) CrossRefPubMed
6.
go back to reference Schemitsch EH, Richards RR (1992) The effect of malunion on functional outcome after plate fixation of fractures of both bones of the forearm in adults. J Bone Joint Surg Am 74(7):1068–1078CrossRefPubMed Schemitsch EH, Richards RR (1992) The effect of malunion on functional outcome after plate fixation of fractures of both bones of the forearm in adults. J Bone Joint Surg Am 74(7):1068–1078CrossRefPubMed
7.
go back to reference Monteggia GB (1814) Instituzioni Chirrugiche, vol 5. Maspero, Milan Monteggia GB (1814) Instituzioni Chirrugiche, vol 5. Maspero, Milan
9.
go back to reference Jupiter JB, Leibovic SJ, Ribbans W, Wilk RM (1991) The posterior Monteggia lesion. J Orthop Trauma 5(4):395–402CrossRefPubMed Jupiter JB, Leibovic SJ, Ribbans W, Wilk RM (1991) The posterior Monteggia lesion. J Orthop Trauma 5(4):395–402CrossRefPubMed
10.
go back to reference Penrose JH (1951) The Monteggia fracture with posterior dislocation of the radial head. J Bone Joint Surg 33B:65–73 Penrose JH (1951) The Monteggia fracture with posterior dislocation of the radial head. J Bone Joint Surg 33B:65–73
11.
go back to reference Nakamura K, Hirachi K, Uchiyama S, Takahara M, Minami A, Imaeda T et al (2009) Long-term clinical and radiographic outcomes after open reduction for missed Monteggia fracture-dislocations in children. J Bone Joint Surg Am 91(6):1394–1404CrossRefPubMed Nakamura K, Hirachi K, Uchiyama S, Takahara M, Minami A, Imaeda T et al (2009) Long-term clinical and radiographic outcomes after open reduction for missed Monteggia fracture-dislocations in children. J Bone Joint Surg Am 91(6):1394–1404CrossRefPubMed
12.
go back to reference Reckling FW (1982) Unstable fracture-dislocations of the forearm (Monteggia and Galeazzi lesions). J Bone Joint Surg Am 64(6):857–863CrossRefPubMed Reckling FW (1982) Unstable fracture-dislocations of the forearm (Monteggia and Galeazzi lesions). J Bone Joint Surg Am 64(6):857–863CrossRefPubMed
13.
14.
go back to reference Hughston JC (1957) Fracture of the distal radial shaft; mistakes in management. J Bone Joint Surg Am 39-A(2):249–264CrossRefPubMed Hughston JC (1957) Fracture of the distal radial shaft; mistakes in management. J Bone Joint Surg Am 39-A(2):249–264CrossRefPubMed
15.
go back to reference Moore TM, Klein JP, Patzakis MJ (1985) Results of compression-plating of closed Galeazzi fractures. J Bone Joint Surg Am 67(7):1015–1021CrossRefPubMed Moore TM, Klein JP, Patzakis MJ (1985) Results of compression-plating of closed Galeazzi fractures. J Bone Joint Surg Am 67(7):1015–1021CrossRefPubMed
16.
go back to reference Copuroglu C, Calori GM, Giannoudis PV (2013) Fracture non-union: Who is at risk? Injury 44:1379–1382CrossRefPubMed Copuroglu C, Calori GM, Giannoudis PV (2013) Fracture non-union: Who is at risk? Injury 44:1379–1382CrossRefPubMed
17.
go back to reference Macintyre NR, Ilyas AM, Jupiter JB (2009) Treatment of forearm fractures. Acta Chir Orthop Traumatol Cech 76(1):7–14PubMed Macintyre NR, Ilyas AM, Jupiter JB (2009) Treatment of forearm fractures. Acta Chir Orthop Traumatol Cech 76(1):7–14PubMed
Metadata
Title
Combined open bipolar Monteggia and Galeazzi fracture: a case report with a 1-year follow-up
Authors
Christos Koutserimpas
Georg Tsironis
Antonios Salasidis
Phillipp Swatoch
Konstantin Tsironis
Publication date
01-08-2017
Publisher
Springer Milan
Published in
Strategies in Trauma and Limb Reconstruction / Issue 2/2017
Print ISSN: 1828-8936
Electronic ISSN: 1828-8928
DOI
https://doi.org/10.1007/s11751-017-0280-z

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