Forearm

Galeazzi Fracture-Dislocation

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Galeazzi Fracture-Dislocation, Galeazzi's Fracture, Galeazzi Fracture, Dupuytren's Fracture of Radius, Reverse Monteggia Fracture

  • See Also
  1. Forearm Fracture (GRUM Mnemonic)
  2. Monteggia's Fracture
  • Epidemiology
  1. Uncommon to rare in children (<3% of pediatric Forearm Fractures)
  • Definitions
  1. Galeazzi Fracture
    1. Fracture of the distal to middle-third shaft of radius
    2. Dislocation of Distal radio-ulnar joint (ulna will appear medially displaced at the wrist)
      1. Risk of Ulnar Nerve injury
  • Mechanism
  1. Fall on Outstretched Hand with wrist extended and pronated
  • Exam
  1. See Forearm Fracture
  2. Evaluate for wrist deformity
  3. Evaluate for distal radioulnar joint tenderness
  • Signs (Triad)
  1. Images
    1. orthoForearmFxDislocate.jpg
  2. Radius Fracture (distal third)
  3. Radius Shortening
  4. Radio-ulnar dislocation (often missed)
    1. Occurs due to shortening of Fracture
    2. Shortening can only occur with injury elsewhere
  • Associated Conditions
  1. Distal radioulnar space widening
  2. Ulnar styloid Fracture
  3. Radius shortening
  4. Ulnar dislocation
  • Management
  1. Closed reduction and Long Arm Cast
  2. Surgery often required
  • References
  1. Patel (2021) Am Fam Physician 103(6): 345-54 [PubMed]