The document discusses forearm fractures, specifically Monteggia and Galeazzi fractures, detailing their causes, types, diagnosis, and treatment options. It highlights that both radius and ulna fractures often occur together, with different treatment approaches including conservative methods and surgical options. Complications such as malunion and infection are also mentioned, along with specific characteristics of each fracture type.

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

20. Please share the video and subscribe my
channel.