Galeazzi 骨折症例の検討

抄録

Fifteen cases with so called Galeazzi facture were seen and treated in our department and Kyushu Rosai Hospital for last ten years.
These cases were reviewed clinically and radiologically for further evaluation of the treatment.
From the radiological point of view, two types of this fracture were pointed out according to the site of fracture of radius. One is the classical type, fracture of distal one third of the shaft of radius with dislocation of the distal radio-ulnar joint, and the other, fracture of proximal one third of the shaft of radius with the dislocation.
Eleven cases were classified as the classical type, and four cases as the second type.
Follow-up result for the classical type revealed that immediate open redution with fixation of fracture of radius with a plate and screws gives the best result and that closed reduction ends up with poor result in most cases.
Arthrography for the radio-ulnar joint could contribute to make a diagnosis for rupture of the articular disc and dislocation of the joint.