distal radius ulna joint (Galeazzi fracture-dislocation). Please see our publications on radius fractures, fractures in adolescents, and wrist fractures. He was taken to a local hospital and radiographs revealed a closed right. The HSS Orthopedic Trauma Service has conducted many studies. &NA Galeazzi fracture is a fracture of the radial diaphysis with disruption at the distal radioulnar joint (DRUJ). At the time of his latest follow-up visit, 8 months following fracture surgery, he has excellent radiographic and clinical results including a healed distal radius fracture in excellent alignment, resolution of pain, full range of motion, and a return to pre-injury activities.Īnteroposterior and lateral radiographs ( left images) revealing a right-sided distal radius fracture and associated dislocation of the distal radius ulna joint (Galeazzi fracture-dislocation) and intraoperative fluoroscopic radiographs ( right images).Īnteroposterior and lateral radiographs 8 months following fracture surgery illustrating a healed distal radius fracture in excellent alignment. Galeazzi fracture-dislocations are unstable requiring surgical intervention, which involves open reduction and internal fixation (ORIF) of the radial fracture, intraoperative assessment of the distal radioulnar joint for reducibility and stability, and subsequent Kirschner wire fixation of the ulna to the radius, triangular fibrocartilage. Typically, Galeazzi fracture-dislocations occur due to a fall on an outstretched hand (FOOSH) and result in dorsal displacement of the radius (type I) if the axial load was applied to the forearm in supination or volar displacement of the radius (type II) if the forearm was in pronation 7. Misdiagnosis or inadequate management of Galeazzi fracture may result in disabling complications, such as DRUJ instability, malunion, limited forearm range of motion, chronic wrist pain, and osteoarthritis. ![]() He returned for regular follow-up and healed uneventfully. An Essex-Lopresti injury is a fracture through the radial head with dislocation of the. ![]() Fracture of forearm (S52) Galeazzi's fracture (S52.37) S52.366S. Open reduction and internal fixation (ORIF) was performed and the fracture was reduced and fixed using a locking plate and screws including an interfragmentary lag screw. A Galeazzi’s fracture is a fracture of the shaft of the radius with an associated dislocation of the DRUJ. Injury, poisoning and certain other consequences of external causes. Helfet, MD at the Orthopedic Trauma Service of Hospital for Special Surgery for definitive management. Diagnosis can be suspected with a distal radius fracture with widening of the radioulnar joint on AP wrist radiographs and volar/dorsal subluxation of the radioulnar joint on lateral wrist radiographs. He was taken to a local hospital and radiographs revealed a closed right-sided distal radius fracture and associated dislocation of the distal radius ulna joint (Galeazzi fracture-dislocation). A galeazzi fracture is a distal 1/3 radial shaft fracture with an associated distal radioulnar joint (DRUJ) injury. ![]() A 14-year-old male was hit in the right forearm while playing football and experienced immediate pain and swelling.
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