Dear all, This ppt contains the cause, types, clinical and radiological features, treatment and complication of forearm bone fractures, Monteggia and Galeazzi fracture. I hope this is useful to you. Thank you

1. Edited By :- Dr. Bindesh D. Patel, PT
Deputy Registrar
P P Savani University
Prepared By:- Sakshi Yede
Fracture of the forearm bones,
Monteggia and Galeazzi fracture

2. • Radius and ulna are commonly fractures
together termed “Both bones of the forearm”.
• Cause may be indirect force or direct force.

3. Displacement
• In children :- No or minimal displacement
• In adult prone to more displacement
• Types
1. Angulation :- Medial and anterior
2. Shift in any direction
3. Rotation :- Proximal segment in supination and
distal segment in pronation

5. Diagnosis
• Easy to diagnosis
• X-ray confirms the diagnosis

6. Treatment
• Conservative treatment is sufficient
– Closed reduction by manipulation under general
anesthesia
– Above elbow plaster cast
– Technique of closed reduction
– Molding of plaster cast

7. • ORIF
– Radius and ulna should be approached through
separation incisions to avoid cross union
– Compression plating and intra medullary nailing is
preferred method
– Bone grafting should be used in fracture older then 3
weeks
– Limb should be mobilized depending upon rigidity of
the fixation
– External fixation is used in some compound fracture

9. Complications
1. Infection
2. Volkmans ischemia
3. Delayed union and
non union
1. Malunion
2. Cross union

10. Monteggia fracture dislocation
• Fracture of upper third of the ulna with
dislocation of head of radius
• Caused by fall on out stretched hand or direct
blow on the back of the upper forearm
• Types
– Flexion :- Ulna fracture angulates posteriorly and
radial head dislocates posteriorly
– Extension :- Ulna fracture angulates anteriorly and
radial head dislocates anteriorly

12. Diagnosis
• History of injury/fall
• X-ray confirm the diagnosis

13. Treatment
• Very unstable injury
• If reduction is unsuccessful, a close watch is
kept by weekly check x-rays for the initial 3-4
weeks.
• ORIF can be done

14. Complications
1. Malunion

15. Galeazzi fracture dislocation
• It is the counterpart of the Monteggia fracture
dislocaiton
• Fracture of lower third of the radius with
dislocation of distal radio ulnar joint.
• FOOSH injury

16. Displacement and diagnosis
• Radius fracture is angulated medially and
anteriorly
• Distal radio ulnar joint is disrupted resulting in
dorsal dislocation of the distal end of the ulna
• History of fall or injury
• X-ray confirm the diagnosis

17. Treatment
• Perfect reduction is essential
for complete restoration of
the function particullary
rotation of the forearm.
• Difficult to achieve and
maintain the perfect
reduction by conservative
methods.
• ORIF with a plate.
• Dislocated joint will
automatically fall back into
place.

18. Complication
• Malunion

19. Thank you

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