The pseudo Galeazzi equivalent lesion in children under study is about a case which associates a diaphyseal radial fracture and an epiphyseal detachment of the distal extremity of the ulna rather than a distal radio-ulnar dislocation. It concerns a boy of 16-years-old patient who was injured in sport (fall). Radiographs showed a fracture of the radial shaft, which is having an anterior angulation, and a Salter-Harris type II epiphyseal detachment of the distal ulna. We were unable to perform a closed reduction under general anesthesia due to the interposition of the periosteum at the fracture site.
Thus surgical management was the only option. It consisted of removing the offending periosteum and performing: firstly, the osteosynthesis of the radial shaft fracture with a plate, and secondly, the epiphyseal detachment with pins. After 10 months, we didn’t notice any bone growth disturbance, or any reduced mobility of the wrist. Nevertheless, we will continue the follow-up so as to monitor the bone growth disturbance of the distal extremity of the ulna.
Elibrahimi A¹*, Boussakri H¹*, Elidrissi M¹, Shimi M¹, and Elmrini A¹