Refereed journal article or data article (A1)
Treatment Options for Bifid Ulna Deformity Following Galeazzi-equivalent Injury in Adolescents
List of Authors: Mella Joni, Sommarhem Antti, Pääkkönen Markus
Publisher: WORLD SCIENTIFIC PUBL CO PTE LTD
Publication year: 2022
Journal: Journal of Hand Surgery (Asian-Pacific Volume)
Journal name in source: JOURNAL OF HAND SURGERY-ASIAN-PACIFIC VOLUME
Journal acronym: J HAND SURG-ASIAN-PA
Volume number: 27
Issue number: 2
Start page: 370
End page: 375
Number of pages: 6
ISSN: 2424-8355
eISSN: 2424-8363
DOI: http://dx.doi.org/10.1142/S2424835522720110
Abstract
A Galeazzi-equivalent lesion occurs in children and adolescents following a traumatic distal radius fracture when the strong radioulnar ligaments and relative weakness of the ulnar physis result in an avulsion-type Salter-Harris III fracture of the distal ulna. In unreduced fractures, the osteogenic nature of the torn periosteal sleeve may result in the formation of a bifid distal ulna. We describe two cases of bifid distal ulna that developed after missed Galeazzi-equivalent lesions. The first case was treated with resection of the volar limb and reduction of the ulnar fracture, whereas the second case was treated with simple resection of the dorsal limb. Negative ulnar variance developed in both cases.
A Galeazzi-equivalent lesion occurs in children and adolescents following a traumatic distal radius fracture when the strong radioulnar ligaments and relative weakness of the ulnar physis result in an avulsion-type Salter-Harris III fracture of the distal ulna. In unreduced fractures, the osteogenic nature of the torn periosteal sleeve may result in the formation of a bifid distal ulna. We describe two cases of bifid distal ulna that developed after missed Galeazzi-equivalent lesions. The first case was treated with resection of the volar limb and reduction of the ulnar fracture, whereas the second case was treated with simple resection of the dorsal limb. Negative ulnar variance developed in both cases.
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