Monteggia and Galeazzi fractures

Question 1

What do Monteggia and Galeazzi fractures
involve?

Answer 1

The shaft of either the radius or ulna and a dislocation.

Question 2

What does monteggia’s fracture involve?

Answer 2

Dislocation of the proximal radioulnar joint in association with an ulna fracture

Question 3

Where is the fracture in monteggias?

Answer 3

Proximal third of the ulnar shaft

Question 4

Where is the dislocation in monteggias?

Answer 4

Anterior dislocation of the radial head at the capitellum.

Question 5

What is monteggias usually due to?

Answer 5

Fall on outstretched hand with forced pronation

Question 6

What is the management of monteggias?

Answer 6

Open repair in adults
Manipulation under anaesthesia and a cast for children.

Question 7

What does galeazzi fracture involve?

Answer 7

Radial shaft fracture with associated dislocation of the distal radioulnar joint

Question 8

Where is the fracture in galeazzi fracture?

Answer 8

Distal third of the radial shaft

Question 9

Where is the dislocation in galeazzi?

Answer 9

At the radio-ulnar joint.

Question 10

What would you find on clinical examination of galeazzi?

Answer 10

Bruising, swelling and tenderness over the lower end of the forearm.

Question 11

What might you see on an x-ray of galeazzi?

Answer 11

Displaced fracture of the radius and a prominent ulnar head due to dislocation of the inferior radio-ulnar joint.