Ipsilateral Combination Monteggia and Galeazzi Injuries in an Adult Patient: A Case Report

Abstract

Monteggia fractures represent approximately 1 to 2 percent of forearm fractures, whereas Galeazzi fractures represent 3 to 6 percent. The combination of these injuries in the same extremity is an exceedingly rare occurrence. We report a case of ipsilateral combination Monteggia and Galeazzi fractures in an adult patient. The patient was treated with anatomic reduction and rigid internal fixation. The radius was stabilized with a 3.5-millimeter dynamic compression plate (Synthes USA, Paoli, PA, U.S.A.) and the olecranon with tension band fixation. The radiocapitellar and distal radioulnar joint relationships were restored; the fractures healed; and the patient proceeded to obtain a satisfactory functional result at one year.

Ipsilateral Galeazzi and Monteggia fracture

“…Both in children and in adults the reported literature does not show classical fracture types of either Galeazzi or Monteggia lesion in the same forearm. 1,4,5 Our patient had the classical combination of both Galeazzi and Monteggia fracture in the same forearm. We have described the rare mechanism of injury and management for this injury based on a review of the literature.…”

“…1,4,5 However, the described injuries are not classical of either fracture dislocation. Both in children and in adults the reported literature does not show classical fracture types of either Galeazzi or Monteggia lesion in the same forearm.…”

Ipsilateral combined monteggia and galeazzi injuries presenting late: A case report

“…Monteggia lesions constitute 1-2% and Galeazzi 3-6% of all forearm fractures. 4 Though there are reports of complex combinations of these injuries, most of the reports are only of single cases, ipsilateral Monteggia injury with distal radius fracture 11 and with distal radial epiphyseal injury (in a child) 5 are reported. Galeazzi injury with distal ulnar epiphyseal injury in a child 10 and with fracture of radial head, i.e.…”

Ipsilateral Distal Humerus Intercondylar Fracture with Radial Nerve Palsy and Monteggia Fracture Dislocation in Adult

“…Distal humerus intraarticular fractures constitute 0.5%-7% of all fractures and 30% of elbow fractures [3]. Monteggia lesion have been found to be associated with wrist lesions [1,4,5]. Wiley and Galey [1] & Arazi et al [6] reported one case each of the ipsilateral supracondylar fracture of humerus and Monteggia lesion in skeletally immature individuals.…”