A Widely Displaced Galeazzi Equivalent Lesion with Median Nerve Compromise

Abstract
We present the case of a 14-year-old patient with a right distal radial fracture
accompanied by a severely displaced complete distal ulnar physeal separation
and associated median nerve compromise. This injury is known as Galeazziequivalent
lesion in children and is an extremely rare injury associated with
growth arrest. Recognition of the lesion can be difficult but wide displacement
may be associated with other significant injuries such as neurovascular
compromise.
Prompt intervention reversed the neurological symptoms. At ten months
after the operation, neither growth arrest nor loss of range of motion has
occurred. A review of the literature identifies a number of important reasons that
dictate prompt reduction when there is complete separation of the ulna physis
mainly because of soft tissue interposition or capsule problems.
Collections
- Trauma and Orthopaedics [218]
Date
2018-02Author
Athar, Sajjad
Galanopoulos, Ilias
Ashwood, Neil