Abstract
Introduction: Homolateral combined fractures of Monteggia and Galeazzi are very rare. Their treatment is exclusively surgical and should be proposed early in order to restore the anatomy of the antebrachial skeleton, pronosupination, and the flexion-extension of the elbow and wrist. Observation: We reported the case of a 45-year-old woman who presented a homolateral fracture of Monteggia and Galeazzi following a road accident. This combination of fractures posed a problem of diagnosis and management. Surgical follow-up presented functional issues. Conclusion: The association of Monteggia and Galeazzi fracture is very rare and poorly reported in the literature. This observation reminds us of the importance of performing a complete clinical and paraclinical assessment before any therapeutic decision.
Highlights
IntroductionThe association of Monteggia and Galeazzi fractures or bipolar fracture-dislocation of the forearm or “floating radial diaphysis” according to Jupiter [1] was first described by Odena [2]
Homolateral combined fractures of Monteggia and Galeazzi are very rare
Observation: We reported the case of a 45-year-old woman who presented a homolateral fracture of Monteggia and Galeazzi following a road accident
Summary
The association of Monteggia and Galeazzi fractures or bipolar fracture-dislocation of the forearm or “floating radial diaphysis” according to Jupiter [1] was first described by Odena [2]. It is very rare and a few cases are reported in the literature [3] [4] [5]. Fractures of Monteggia or Galeazzi are often misdiagnosed when the radiographs of the forearm do not show the upper and lower joints In adults, their management is surgical and is proposed early in order to restore the anatomy of the antebrachial skeleton, restore joints functions, restore pronosupination, and restore the flexion-extension of the elbow and wrist.
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