Musculoskeletal case studies for medical students
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An 18 year old male was assaulted. The fracture was closed. Neurovascular intact, no other injuries.
Initial X ray
AP X ray
Lateral x ray
The 18 year old male who was assaulted. How this was treated, and why.
X ray after treatment
After reduction with plate and screws.
Post management further view
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
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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