Galeazzi fracture dislocation

Case contributed by Eric F Greif
Diagnosis certain

Presentation

Bar fight.

Patient Data

Age: 40 years
Gender: Male
x-ray

There is an acute distal one-third radial diaphyseal fracture with dorsal lateral displacement and volar angulation of the distal fragment. There is also distal radioulnar dislocation with dorsal displacement of the ulna. Findings are keeping with type 1 Galeazzi fracture-dislocation. Remaining osseous structures are intact. No destructive bony lesions. 

x-ray

Status post open reduction and internal fixation of the distal radial fracture with plate and screws. Reduction of distal radioulnar dislocation. Cast is present. 

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