A Rare Case of Fracture of Radius Associated with Dislocation of Both Distal and Proximal Radio-Ulnar Joint

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Author(s) 

Paragjyoti Gogoi, Anshuman Dutta, Arup Kumar Daolagupu, Arun Kumar Sipani, Prasanta Sonowal

Affiliation(s)

Department of Orthopaedics & Trauma, Silchar Medical College, Silchar, India.
Department of Orthopaedics & Trauma, Silchar Medical College, Silchar, India.
Department of Orthopaedics & Trauma, Silchar Medical College, Silchar, India.
Department of Orthopaedics & Trauma, Silchar Medical College, Silchar, India.
Department of Anaesthesiology, Silchar Medical College, Silchar, India.

ABSTRACT

Single bone forearm fractures are usually associated with dislocation of one radio-ulnar joint. The association of ulnar fractures with dislocation of proximal radio-ulnar joint and radius fractures with distal radio-ulnar joint is well described. Classically they are better known as Monteggia and Galeazzi fracture dislocations respectively. These peculiar presentations are attributed to intricate relationship of the forearm bones joined together as a unit by two radio-ulnar joints at proximal and distal ends and the interosseous membrane in the middle part. However, simultaneous dislocation of the both radio-ulnar joints associated with fracture of single bone is a very rare event. Literature search does not reveal a single case of such type. We are presenting here a case of fracture shaft of radius associated with dislocation of both proximal and distal radio-ulnar joints. The patient was managed by open reduction and fixation of the radius by a compression plate and the dislocations were reduced by closed method and stabilized with small K wires.

KEYWORDS

Forearm Bones, Monteggia Fracture, Galeazzi Fracture, DRUJ, Proximal Radio-Ulnar Joint

Cite this paper

Gogoi, P. , Dutta, A. , Daolagupu, A. , Sipani, A. and Sonowal, P. (2014) A Rare Case of Fracture of Radius Associated with Dislocation of Both Distal and Proximal Radio-Ulnar Joint. Case Reports in Clinical Medicine, 3, 367-372. doi: 10.4236/crcm.2014.36082. 

 

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