Pronation-Type Galeazzi-Equivalent Fracture: A Case Report.

Fractures of the forearm are common among children and adolescents. Radial shaft fracture with dislocation of the distal radioulnar joint (DRUJ), called Galeazzi fracture, is unusual in pediatrics. The Galeazzi-equivalent fracture is a variant of the classic Galeazzi fracture that occurs in children and adolescents. It is a radius fracture associated with a distal ulnar displaced physeal injury without dislocation of the DRUJ. Our patient was a male, aged 15 years, who visited our emergency department after falling off a scooter onto his left hand. Left wrist X-rays showed a displaced Galeazzi-equivalent fracture. After a trial of close reduction, an X-ray showed a displaced and unstable fracture pattern. The patient was subsequently hospitalized for surgical intervention. Open reduction and internal fixation (ORIF) with a plate and screw were used for the radius fracture. The ulna fracture was irreducible; therefore, ORIF with two crossed smooth Kirschner wires (K-wires) was performed. Complete bone union was achieved, and he had a normal range of motion six months postoperatively. The patient is now able to perform daily and sports activities. At two-year follow-up, complications such as DRUJ instability or joint deformity did not occur. In conclusion, open reduction is desired for patients with malalignment or older patients who have a lower potential for sufficient bone remodeling. Regular serial follow-up sessions are required to assess growth arrest and the occurrence of other complications.

Tuberculous Arthritis of the Ankle Joint Mimicking Pigmented Villonodular Synovitis.

Osteoarticular tuberculosis (TB) of the ankle joint is rare, and there is a delay in diagnosis in most cases. All patients with the disease complained of swelling and pain in the affected ankle. Ankle TB is a disorder that can be simply misdiagnosed. The delay in diagnosis may range from months up to years. All patients in this series had already been diagnosed with ankle TB by the time they visited our hospital. The current case was reported in a middle-aged male nurse with ankle pain, ulcer, and limited range of movement. The classical clinical manifestations of TB were absent on free chest radiography. Ulcer biopsy showed TB infection with no lymph nodes. Nonspecific inflammation was initially treated, but, subsequently, anti-TB treatment was useful.