forearm fractures

Question 1

what can occur in children and adults

Answer 1

both monteggia and galleazzi fracture dislocations can occur in children and adults

Question 2

motteggia fracture

Answer 2

proximal third ulnar fracture with associated radial head dislocation

Question 3

gellaezia fracture

Answer 3

distal third radial shaft fracture with associated distal radioulnar joint dislocation

Question 4

why is the management different to normal

Answer 4

they will require surgical stabilisation unlike most children fractures

Question 5

management of monteggia and galleazzi fractures

Answer 5

require reduction and rigid fixation with plates and screws as without surgery there is a high risk of re-disclocation of the radial head or distal radio-ulnar joint

Question 6

with fractures of either bone of the forearm

Answer 6

angulated fractures usually have an intact periosteum and instability may only be in one plane so can be managed with only casting and manipulate but displaced fractures tend to be unstable and fixation using flexible intrameduillry nails are used