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

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

doi:10.1007/s11751-017-0280-z

Christos Koutserimpas, Georg Tsironis + Show 3 more

Open Access

https://doi.org/10.1007/s11751-017-0280-z

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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.

Highlights

Monteggia and Galeazzi fractures are unstable injuries and account for 1–2% and 3–5% of forearm fractures, respectively [1]
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
We report a case of a Gustillo-Henderson type 2 open combined bipolar Monteggia and Galeazzi fracture, as well as fracture of the sublime tubercle in a 49-year old male

Summary

Introduction

Monteggia and Galeazzi fractures are unstable injuries and account for 1–2% and 3–5% of forearm fractures, respectively [1]. A 49-year old male was hit by a car with approximately 30 km/h, while riding a bike and fell to his right side He was brought to our level I trauma center by an ambulance. He sustained a Gustillo-Henderson type 2 open combined bipolar Monteggia and Galeazzi fracture, as well as fracture of the sublime tubercle The patient received parenteral antibiotic treatment, with 1.5 g of cefuroxime per 8 h, during his hospitalization, as well as one dose at the emergency department and one while on the operating table.

Discussion

Compliance with ethical standards