![]() ![]() With the consent of the patient’s family, we performed a CT examination of the area which clearly revealed the deformity was more clearly (Fig. We performed an X-ray of the injured site and found that the distal left ulna was split and a new ulna was growing. In the present report, the patient was treated for bifid ulna conservatively and followed up for 7 years, hence our case presents the entire progression of the patient who received conservative treatment, which is now functioning normally in the wrist. and was successfully treated via surgical operation. The first case was reported in 2013 by Jones et al. Here, we report a case of an abnormal distal ulnar bifurcation after trauma with a “Y” shape on imaging. Some small epiphyseal injuries may be difficult to detect using imaging techniques and are often overlooked. This Galeazzi aequivalent fracture in fact represents a Salter Harris type I or II (or in rare instances a Salter -Harris type IV) injury. In children or adolescents, Galeazzi equivalent fracture dislocation manifests as distal ulnar epiphyseal separation rather than true distal radial ulnar dislocation (DRUJ). ![]() Galeazzi aequivalent fracture dislocation is a compound injury that comprises fractures of the distal third of the radius and dislocation of the distal radial ulnar joint (DRUJ), which is prevalent among adults. Conservative treatment can be applied to avoid the trauma associated with surgery especially in the absence of severe joint mobility impairment with good outcomes. Ulnar diaphyseal fracture may occur in children or adolescents due to injuries, and may be accompanied with manipulation and repositioning. A follow-up performed over the years demonstrated that the patient recovered well, and had normal wrist movements without significant pain, and the patient expressed great satisfaction. In this case report, we describe an 11-year-old male child who presented with an ulnar bifida following trauma to the hand, and was treated with manipulation and conservative treatment without surgery. In previous similar reports, patients were effectively managed through surgery. Clinically, this condition is rare and often leads to distal ulnar bifurcation. Fractures associated with an open wound are considered open fractures.Galeazzi fracture dislocation is a compound injury that encompasses fractures of the distal third of the radius and dislocation of the distal radial ulnar joint (DRUJ). Clearly, all displacements are not the same and some fractures are associated with greater anatomic deformity than others. All other fractures (i.e., all fractures with loss of anatomic contours) are considered to be displaced. 2008 Aug 33(4):478-83.įractures associated with a radiographic appearance that is essentially normal with respect to extra- and intra-articular anatomy are considered nondisplaced. Combined fractures of the distal radius and scaphoid. DRFs may be extra-, intra-, or partial articular and are regularly accompanied with an ulnar styloid fracture. The distal radius is defined as the distal one third of the radius. Fractures of the distal radius (DRF) are one of the most common injuries. Wrist fractures include fractures that affect the distal ends of the radius, ulna, and carpus. Purely ligamentous injuries can be a cause of wrist pain after a fall on an outstretched hand in the setting of normal radiographs. Malunion of inadequately reduced fractures may result in decreased range of motion and grip strength, as well as pain, in younger patients, who may place a higher demand on the wrist. Successfully reduced fractures can be treated nonsurgically with immobilization and radiographic monitoring. Nondisplaced fractures do not have any deformity and are treated with immobilization in a splint or cast.ĭisplaced fractures usually present with a "dinner fork" deformity and require closed reduction and possible surgical fixation. Isolated scaphoid fractures can also occur and should be considered in the differential of a patient with radial-sided wrist pain after a fall on their hand. This injury may be accompanied by fractures of the ulnar styloid, the distal ulna, and the scaphoid. Wrist fractures affecting the distal radius are the most common fracture in adults and are typically caused by a fall on the outstretched hand.
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