A widely displaced Galeazzi-equivalent lesion with median nerve compromise

Ilias Galanopoulos, Quentin Fogg, Neil Ashwood, Katherine Fu

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Abstract

We present the case of a 14-year-old boy with a right distal radial fracture accompanied by a severely displaced complete distal ulnar physeal separation and associated median nerve compromise. This injury is known as Galeazzi-equivalent lesion in children and is an extremely rare injury associated with growth arrest. Recognition of the lesion can be difficult but wide displacement may be associated with other significant injuries such as neurovascular compromise. Prompt intervention reversed the neurological symptoms. At 10-month postoperation there was neither growth arrest nor loss of motion. Complete separation of the ulna physis remains often because of soft tissue interposition or capsule problems and prompt reduction is recommended in the literature as a priority.
Original languageEnglish
Number of pages4
JournalBMJ Case Reports
DOIs
Publication statusPublished - 18 Aug 2012
Externally publishedYes

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