Basically what she had was a fracture of the distal 1/3 of the radius with a concomitant dislocation of the distal radio-ulnar joint (the so-called "Galleazi Fracture" - medical students, take note :) )
Can we treat this non-surgically? I mean people have been treating fractures of the forearm with splints and POP for years right? Well with the advent of modern orthopedic management, that line of treatment has been largely abandoned.
We know that with this fracture, a treatment regimen consisting of closed reduction and cast immobilization has a high rate of unsatisfactory results. Patients will have problems with malunion, pain at the distal radio-ulnar joint, and worse still pronation and supination of the forearm will be severely compromised.
Therefore open reduction of the radial shaft fracture and internal fixation with dynamic compression plate is the treatment of choice in adults. Rigid anatomical fixation of the radial shaft fracture generally reduces the distal radioulnar joint dislocation.
Ladies and Gentlemen, I now present to you the post op x rays:
Tadaa! As you can see, the fractured bone has been aligned in place and the distal radio-ulnar joint is reduced.
Patient went back to work at 6 weeks.. as a GP (!)
- the BomohTulang -
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