Fractures of Both Forearm Bones, Galeazzi Fracture, and Monteggia Injury

Introduction

Forearm fractures are common orthopaedic injuries that can significantly impact function. Among them, fractures of both forearm bones, Galeazzi fractures, and Monteggia injuries require careful assessment and management.

Mechanism of Injury

Fractures of both forearm bones often occur due to direct trauma, such as falls on an outstretched hand or high-impact injuries. Galeazzi fractures involve a distal radial shaft fracture with disruption of the distal radioulnar joint, whereas Monteggia injuries include a proximal ulna fracture with radial head dislocation.

Clinical Presentation

• Pain and swelling in the forearm
• Deformity and loss of function
• Visible bone displacement in severe cases

Diagnosis and Treatment

Diagnosis relies on clinical examination and imaging, including X-rays. Treatment options vary based on the injury type and severity:

• Non-Surgical Treatment: Immobilization with a cast for stable fractures
• Surgical Intervention: Open reduction and internal fixation (ORIF) for unstable fractures
• Rehabilitation: Physiotherapy to restore mobility and strength

Conclusion

Early diagnosis and appropriate treatment of forearm fractures ensure optimal recovery and prevent complications. A multidisciplinary approach involving orthopaedic surgeons, physiotherapists, and occupational therapists is essential for functional restoration.