Musculoskeletal case studies for medical students

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History An 18 year old male was assaulted. The fracture was closed. Neurovascular intact, no other injuries.
Initial X ray
Description AP X ray
X ray
Description Lateral x ray
Problem The 18 year old male who was assaulted. How this was treated, and why.
X ray after treatment
Description After reduction with plate and screws.
Post management further view
Classification There is displaced fracture of the midshaft of the radius. Note that the radio ulnar joint is also subluxed - the radius is shortened relative to the ulna. (The difference in length - radial styloid vs ulna distal end -is usually 11 mm at the wrist). This is a Galeazz i fracture dislocation.
Discussion of management Galleazzi fractures need open rediuction and internal fixation. The radius was plated, restoring radial length. Look out for these (Monteggia, Galeazzi) fracture dislocations id only 1 forearm bone is fractured.


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