Monteggia vs. Galeazzi Fractures

Jorge Muniz ·
Educational medical illustration comparing Monteggia fracture (proximal ulna fracture with radial head dislocation, Bado classification) and Galeazzi fracture (distal radius fracture with distal radioulnar joint dislocation), featuring the MUGR mnemonic for identification
Illustrated guide comparing Monteggia and Galeazzi forearm fracture-dislocations using the MUGR mnemonic (Monteggia = Ulna, Galeazzi = Radius) and the "A to Z" rule for fracture location. Proprietary medical illustration by Jorge Muniz, PA-C.
  • A Monteggia fracture is a fracture of the proximal ulna with dislocation of the radial head
    • There are four types, based on the direction that the radial head is displaced (Bado classification)
  • A Galeazzi fracture is a fracture of the distal radius with dislocation of the distal radioulnar joint (DRUJ)
  • MUGR (pronounced "MUGGER"): identifies the fractured bone
    • MU: Monteggia Ulna
    • GR: Galeazzi Radius
  • Use "A to Z" to remember the location of the fracture-dislocation:
    • 'A' is proximal (MonteggiA) - Radial head dislocation and proximal ulna fracture
    • 'Z' is distal (GaleazZi) - Distal radioulnar joint dislocation and distal radius fracture

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