Galeazzi fracture

Galeazzi fracture

Q. 1

Which of the following is NOT TRUE about Eponymous fracture?

 A

Monteggia fracture is fracture of the proximal third of the ulna with radial head dislocation

 B

Galeazzi fracture is fracture of the distal third of the radius with dislocation of the distal radio-ulnar joint

 C

Colles fracture is fracture at cortico-cancellous junction of the distal end of the radius with dorsal tilt

 D

Potts fracture is a trimalleolar ankle fracture

Q. 1

Which of the following is NOT TRUE about Eponymous fracture?

 A

Monteggia fracture is fracture of the proximal third of the ulna with radial head dislocation

 B

Galeazzi fracture is fracture of the distal third of the radius with dislocation of the distal radio-ulnar joint

 C

Colles fracture is fracture at cortico-cancellous junction of the distal end of the radius with dorsal tilt

 D

Potts fracture is a trimalleolar ankle fracture

Ans. D

Explanation:

An eponym is the name of a person, whether real or fictitious, after which a particular place, tribe, era, discovery, or other item is named or thought to be named.

One who is referred to as eponymous is someone who gives his or her name to something.

“Pott’s fracture is bimalleolar fracture of ankle, trimalleolar fracture of ankle is called cotton’s fracture”
All other eponymous fractures are correctly defined.

Ref: Maheshwari 3/e, Page 2-3.


Q. 2

Galeazzi fracture is fracture of:

 A

Upper end of ulna

 B

Lower end of ulna

 C

Upper end of radius

 D

Lower end of radius

Q. 2

Galeazzi fracture is fracture of:

 A

Upper end of ulna

 B

Lower end of ulna

 C

Upper end of radius

 D

Lower end of radius

Ans. D

Explanation:

D i.e. Lower end of radius


Q. 3

Galeazzi fracture is

 A

Supracondylar fracture of the humerus

 B

Fracture of the distal radius with inferior radio ulnar joint dislocation

 C

Fracture of radius in the proximal site and dislocation of the elbow

 D

Fracture of the radial head

Q. 3

Galeazzi fracture is

 A

Supracondylar fracture of the humerus

 B

Fracture of the distal radius with inferior radio ulnar joint dislocation

 C

Fracture of radius in the proximal site and dislocation of the elbow

 D

Fracture of the radial head

Ans. B

Explanation:

B i.e. Fracture of the distal radius with inferior radio ulnar joint dislocation

Fractures of Forearm (Single Bone Fracture)

Monteggia Fracture
Dislocation

Fracture of

proximal third of ulna with dislocation of proximal radioulnar jointQ.

Essex – Lopresti Fracture
Dislocation

–  Fracture of radial head or neck, disruption of distal radial ulnar joint & tearing of interosseous membrane for a considerable distance proximally

– Tethering effect of interosseous membrane is lost; if the radial head is resected, rapid proximal migration of the radius can occur, resulting in wrist pain from ulnar carpal impingment & elbow pain from radiocapitellar impingment.

Galeazzi Fracture
Dislocation

Fracture of the distal third of radius and dislocation of the distal radio – ulnar jointQ.

Galeazzi fracture is called the “fracture of necessity”. Like monteggia fracture dislocation, it often go unrecognized. And a treatment regimen of closed reduction & cast immobilization has a high rate of unsatisfactory results. Rigid anatomical fixation by plating (DCP/ LC – DCP) is the treatment of choice in adultsQ.




Q. 4

True about Eponymous fractures is A/E

 A

Montegia # is # of the proximal third of ulna with radial head dislocation

 B

Galeazzi # is # of the distal third of the radius with dislocation of the distal radio-ulnar joint

 C

Colles # is # at cortico-cancellous junction of the distal-end of radius with dorsal tilt

 D

Potts # Trimalleolar ankle #

Q. 4

True about Eponymous fractures is A/E

 A

Montegia # is # of the proximal third of ulna with radial head dislocation

 B

Galeazzi # is # of the distal third of the radius with dislocation of the distal radio-ulnar joint

 C

Colles # is # at cortico-cancellous junction of the distal-end of radius with dorsal tilt

 D

Potts # Trimalleolar ankle #

Ans. D

Explanation:

D i.e. Potts # Trimalleolar ankle #


Q. 5

Galeazzi fracture is defined as:             

March 2013 (c)

 A

Fracture proximal radius with dislocation of superior radio-ulnar joint

 B

Fracture distal radius with dislocation of inferior radio-ulnar joint

 C

Fracture proximal ulna with dislocation of superior radio-ulnar joint

 D

Fracture distal ulna with dislocation of inferior radio-ulnar joint

Q. 5

Galeazzi fracture is defined as:             

March 2013 (c)

 A

Fracture proximal radius with dislocation of superior radio-ulnar joint

 B

Fracture distal radius with dislocation of inferior radio-ulnar joint

 C

Fracture proximal ulna with dislocation of superior radio-ulnar joint

 D

Fracture distal ulna with dislocation of inferior radio-ulnar joint

Ans. B

Explanation:

Ans. B i.e. Fracture distal radius with dislocation of inferior radio-ulnar joint

Synonyms of fractures

Greenstick fracture: Childrens,

Bending force,

Distraction of cortex on convex side &

Compression on the concave side (cortex intact)

Bennet’s fracture: Intra-articular base of 1st metacarpal;

– Extra-articular extension is Rolando’s fracture (T or Y shaped)

  • Chauffer’s fracture: Fracture radial styloid process
  • Jefferson’s fracture: Burst fracture of C1 (atlas)
  • Monteggia fracture:Proximal ulna fracture with dislocation of head of radius
  • Galeazzi fracture: Fracture distal radius with dislocation of distal radio-ulnar joint
  • March fracture: Stress fracture of shaft of 2nd or 3rd metatarsal (commonly)
  • Pott’s fracture: Bimalleolar fracture
  • Burst fracture: Compression fracture of vertebrae
  • Crescent fracture: Fracture iliac bone with sacro-iliac disruption

Q. 6

Galeazzi fracture is ‑

 A

Fracture distal 1/3 radius with DRUJ subluxation

 B

Fracture proximal 1/3 radius with DRUJ subluxation

 C

Fracture distal 1/3 radius without DRUJ subluxation

 D

Fracture proximal 1/3 radius without DRUJ subluxation

Q. 6

Galeazzi fracture is ‑

 A

Fracture distal 1/3 radius with DRUJ subluxation

 B

Fracture proximal 1/3 radius with DRUJ subluxation

 C

Fracture distal 1/3 radius without DRUJ subluxation

 D

Fracture proximal 1/3 radius without DRUJ subluxation

Ans. A

Explanation:

Ans. is ‘a’ i.e., Fracture distal 1/3 radius with DRUJ subluxation

Galeazzi fracture dislocation is fracture of distal third of radius with dislocation or subluxation of inferior (distal) radio-ulnar joint. It is also called as Reverse monteggia.

It occurs due to :-

  1. Fall on an outstretched hand with marked pronation of the forearm.
  2. Direct blow on the dorsolateral side of the forearm.

Treatment

  • Closed reduction is usually not successful due to the deforming forces of the muscles. o Hence, open reduction and internal fixation is the preferred method of treatment.

Q. 7

Identify the type of Fracture:

 A

Monteggia fracture dislocation

 B

Galeazzi fracture-dislocation

 C

Colle’s Fracture

 D

Barton’s Fracture

Q. 7

Identify the type of Fracture:

 A

Monteggia fracture dislocation

 B

Galeazzi fracture-dislocation

 C

Colle’s Fracture

 D

Barton’s Fracture

Ans. B

Explanation:

Ans:B.)Galeazzi fracture-dislocation

Galeazzi fracture-dislocation 

  • A ‘Galeazzi’ injury is a fracture of the radial shaft with dislocation of the ulna from its articulation with the radius at the distal radio-ulnar joint.
  • It commonly results from a fall on an out stretched hand.



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