Galeazzi fracture
Citation, DOI, disclosures and case data
At the time the case was submitted for publication Alexandra Stanislavsky had no recorded disclosures.
View Alexandra Stanislavsky's current disclosuresPresentation
Bad fall while playing sport.
Patient Data
Note: This case has been tagged as "legacy" as it no longer meets image preparation and/or other case publication guidelines.
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Open transverse fracture at the junction of the distal and middle third of the radial diaphysis with volar dislocation of the distal radio-ulnar joint. Note that the radius is overriding by 2-3 cm.
4 case questions available
Q: What is the name of this fracture, and what are the key features? show answer
A: A Galeazzi fracture-dislocation consists of a radial fracture (distal) and a dislocation of the distal radio-ulnar joint.
Q: What additional feature is demonstrated which increases the risk of postoperative sepsis? show answer
A: This fracture is open, with locules of gas in the soft tissue adjacent to the distal ulna.
Q: What structural damage can be assumed to be present when shortening of the radius is by more than 1cm? show answer
A: Complete disruption of the distal part of the interosseous membrane.
Q: What Galeazzi equivalent fracture is seen in children, and what complication is seen in about half of cases? show answer
A: Fracture of the distal radius and a growth plate injury of the distal ulna. Physeal arrest occurs in up to 55% of cases, resulting in a shortened ulna.
Case Discussion
This case illustrates typical, albeit marked, features of the eponymous Galeazzi fracture-dislocation.
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