Ulnar Nerve Injury as a Result of Galeazzi Fracture: A Case Report and Literature Review

Paul Roettges, Tolga Turker

Research output: Contribution to journalArticle

1 Citation (Scopus)

Abstract

Background: Sparse documentation of Galeazzi fracture with associated nerve injury exists in the medical literature. The purpose of this report is to review the available literature in regard to incidence, nerve injury type, treatment strategies, and expected outcomes. Methods: We present a classic Galeazzi fracture dislocation with associated complete ulnar nerve transection injury at the level of the wrist. After rigid internal bony stabilization, allograft nerve repair was performed. The patient’s presentation, operative management, recovery, and a thorough literature review are discussed. Results: Fracture union was attained with near full wrist and elbow range of motion. Despite lack of ulnar nerve function return, the patient was able to resume manual labor occupation. Conclusions: Despite its close proximity to the dislocating distal radioulnar joint (DRUJ), thorough review reveals rare associated ulnar nerve palsy. If there is suspicion for nerve injury in the setting of open DRUJ dislocation, the nerve should be explored to identify possible entrapment or transection. Literature supports likely return of nerve function in cases of intact nerve; however, management of nerve transection remains debatable.

Original languageEnglish (US)
Pages (from-to)NP162-NP165
JournalHand
Volume12
Issue number5
DOIs
StatePublished - Sep 1 2017

Fingerprint

Ulnar Nerve
Wounds and Injuries
Wrist
Ulnar Neuropathies
Elbow
Articular Range of Motion
Joint Dislocations
Occupations
Documentation
Allografts
Joints
Incidence
Therapeutics

Keywords

  • Galeazzi
  • Galeazzi fracture
  • nerve allograft
  • nerve repair
  • ulnar nerve
  • ulnar nerve injury

ASJC Scopus subject areas

  • Surgery
  • Orthopedics and Sports Medicine

Cite this

Ulnar Nerve Injury as a Result of Galeazzi Fracture : A Case Report and Literature Review. / Roettges, Paul; Turker, Tolga.

In: Hand, Vol. 12, No. 5, 01.09.2017, p. NP162-NP165.

Research output: Contribution to journalArticle

@article{f7af0f5128df48f298245213314a3bf9,
title = "Ulnar Nerve Injury as a Result of Galeazzi Fracture: A Case Report and Literature Review",
abstract = "Background: Sparse documentation of Galeazzi fracture with associated nerve injury exists in the medical literature. The purpose of this report is to review the available literature in regard to incidence, nerve injury type, treatment strategies, and expected outcomes. Methods: We present a classic Galeazzi fracture dislocation with associated complete ulnar nerve transection injury at the level of the wrist. After rigid internal bony stabilization, allograft nerve repair was performed. The patient’s presentation, operative management, recovery, and a thorough literature review are discussed. Results: Fracture union was attained with near full wrist and elbow range of motion. Despite lack of ulnar nerve function return, the patient was able to resume manual labor occupation. Conclusions: Despite its close proximity to the dislocating distal radioulnar joint (DRUJ), thorough review reveals rare associated ulnar nerve palsy. If there is suspicion for nerve injury in the setting of open DRUJ dislocation, the nerve should be explored to identify possible entrapment or transection. Literature supports likely return of nerve function in cases of intact nerve; however, management of nerve transection remains debatable.",
keywords = "Galeazzi, Galeazzi fracture, nerve allograft, nerve repair, ulnar nerve, ulnar nerve injury",
author = "Paul Roettges and Tolga Turker",
year = "2017",
month = "9",
day = "1",
doi = "10.1177/1558944717715137",
language = "English (US)",
volume = "12",
pages = "NP162--NP165",
journal = "Hand",
issn = "1558-9447",
publisher = "Springer New York",
number = "5",

}

TY - JOUR

T1 - Ulnar Nerve Injury as a Result of Galeazzi Fracture

T2 - A Case Report and Literature Review

AU - Roettges, Paul

AU - Turker, Tolga

PY - 2017/9/1

Y1 - 2017/9/1

N2 - Background: Sparse documentation of Galeazzi fracture with associated nerve injury exists in the medical literature. The purpose of this report is to review the available literature in regard to incidence, nerve injury type, treatment strategies, and expected outcomes. Methods: We present a classic Galeazzi fracture dislocation with associated complete ulnar nerve transection injury at the level of the wrist. After rigid internal bony stabilization, allograft nerve repair was performed. The patient’s presentation, operative management, recovery, and a thorough literature review are discussed. Results: Fracture union was attained with near full wrist and elbow range of motion. Despite lack of ulnar nerve function return, the patient was able to resume manual labor occupation. Conclusions: Despite its close proximity to the dislocating distal radioulnar joint (DRUJ), thorough review reveals rare associated ulnar nerve palsy. If there is suspicion for nerve injury in the setting of open DRUJ dislocation, the nerve should be explored to identify possible entrapment or transection. Literature supports likely return of nerve function in cases of intact nerve; however, management of nerve transection remains debatable.

AB - Background: Sparse documentation of Galeazzi fracture with associated nerve injury exists in the medical literature. The purpose of this report is to review the available literature in regard to incidence, nerve injury type, treatment strategies, and expected outcomes. Methods: We present a classic Galeazzi fracture dislocation with associated complete ulnar nerve transection injury at the level of the wrist. After rigid internal bony stabilization, allograft nerve repair was performed. The patient’s presentation, operative management, recovery, and a thorough literature review are discussed. Results: Fracture union was attained with near full wrist and elbow range of motion. Despite lack of ulnar nerve function return, the patient was able to resume manual labor occupation. Conclusions: Despite its close proximity to the dislocating distal radioulnar joint (DRUJ), thorough review reveals rare associated ulnar nerve palsy. If there is suspicion for nerve injury in the setting of open DRUJ dislocation, the nerve should be explored to identify possible entrapment or transection. Literature supports likely return of nerve function in cases of intact nerve; however, management of nerve transection remains debatable.

KW - Galeazzi

KW - Galeazzi fracture

KW - nerve allograft

KW - nerve repair

KW - ulnar nerve

KW - ulnar nerve injury

UR - http://www.scopus.com/inward/record.url?scp=85028087840&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85028087840&partnerID=8YFLogxK

U2 - 10.1177/1558944717715137

DO - 10.1177/1558944717715137

M3 - Article

C2 - 28703647

AN - SCOPUS:85028087840

VL - 12

SP - NP162-NP165

JO - Hand

JF - Hand

SN - 1558-9447

IS - 5

ER -