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A 33-year-old man sustains blunt trauma to his forearm and presents with the injury seen in Fig A and B. Definitive management of this injury involves the following:
Perform closed reduction of the radius, then immobilize the forearm in a long arm cast in supination.
Perform open reduction and internal fixation of the radius, then assess the proximal radioulnar joint for instability, and percutaneously fix the proximal radioulnar joint if instability persists.
Perform open reduction and internal fixation of the radius, then assess the distal radioulnar joint for instability, and reconstruct the distal radioulnar joint with a looped palmaris longus autograft if instability persists.
Perform closed reduction of the radius, then assess the distal radioulnar joint for instability, and perform internal fixation of the radius if instability persists.
Perform open reduction and internal fixation of the radius, then assess the distal radioulnar joint for instability, and percutaneously fix the distal radioulnar joint if instability persists.
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A 42-year-old female sustains the injury shown in Figure A. What other anatomic structure is most commonly injured with this fracture?
Volar long radiolunate ligament
Dorsal radioulnar ligaments
Ligament of Testut and Kuentz
A 30-year-old female presents with the injury shown in Figure A after falling on her outstretched arm. During operative treatment of the fracture, anatomic reduction of the radius is achieved. However, the surgeon is unable to reduce the distal radioulnar joint. What structure is most likely impeding the reduction?
Flexor carpi radialis
Extensor carpi ulnaris
Flexor carpi ulnaris
Educational video describing the condition known as Galeazzi Fracture.
HPI - A 80-year-old male presented with a h/o fall with forearm fracture 40 days ago that was treated at an outside hospital with POP casting. He now presents with pain and deformity of the left (non-dominant) forearm.
What would be your next step in treatment for this patient?
HPI - Patient sustained fracture about one year back .was operated for O/R&I/F with plates and screw through dorsal approach.After 3 months the patient presented with broken implant.he did not had any treatment for about 6 months .
Three months back he was again operated for nonunion .O/R&I/F with plates and screw was done with bone grafting.
About one week back patient again presented with broken implant and non union
What should be further treatment plan.
HPI - Patient sustained galeazzi fracture right radius 8months back.he was operated but implant got infected and loose.About three months after initial surgery he was operated for implant removal and antibiotic impregnated cement was inserted .patient again developed reinfected one month after surgery and was advised redribedment again.but he did non report for surgery.
Now he has presented 2days back with increased deformity and infection
How would you treat this patient?