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Volume 1, Case
16
Galeazzi's Injury
Radiology Cases in Pediatric Emergency Medicine
Volume 1, Case 16
Loren G. Yamamoto, MD, MPH
Stanley M.K. Chung, MD
A 12 year old male is brought
to the ED after injuring his forearm rollerblading. He fell onto his palm
and noted pain and a deformity in his forearm. Examination revealed normal
vital signs and findings limited to his left arm. His clavicle, shoulder,
humerus, and hand were non-tender. He was reluctant to move his shoulder
since his forearm was in a splint and sling. There was an obvious angulation
at the mid-forearm. He could move all his fingers. No circulatory or sensory
deficits were detected. Radiographs of his forearm were obtained.
View radiographs.
X-ray
Click
here for a better picture
The radiographs show an angulated
distal radius and ulna fracture, a fracture through the physis of the
distal ulna, and a dislocation of the distal ulna (radioulnar dislocation).
What type of Salter-Harris fracture is present at the distal ulna? If
you have difficulty with the Salter-Harris classification, review Case
18 (Salter-Harris). This is probably a SH type I fracture, although small
parts of the metaphysis may still be attached to the fracture segment,
making it a type II.
What is your Diagnosis?
Click
here for Case 16 Answers
Loren Yamamoto,
MD, MPH Associate Professor of Pediatrics University of Hawaii John A. Burns
School of Medicine loreny@hawaii.edu
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