1/16/2024 0 Comments Galeazzi fracture radiopaediaMisdiagnosis 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. ADVERTISEMENT: Radiopaedia is free thanks to our supporters and advertisers. Further intraoperative interventions are based on the reducibility and postreduction stability of the DRUJ. Anatomic reduction and rigid fixation should be followed by intraoperative assessment of the DRUJ. Open reduction and internal fixation is the preferred surgical option. They often occur as a result of a high energy trauma and usually involve either direct or indirect axial loading 1. ![]() They can be broadly classified into ridge (most common 2) and body fractures. In adults, nonsurgical treatment typically fails because of deforming forces acting on the distal radius and DRUJ. Isolated fractures of the trapezium are only thought to account for 3-5 of all carpal fractures 1,2. Nonsurgical management with anatomic reduction and immobilization in a long-arm cast has been successful in children. Underdiagnosis is common because disruption of the ligamentous restraints of the DRUJ may be overlooked. Diagnosis is established on radiographic evaluation. First described in 1934 by Italian orthopaedic surgeon Riccardo Galeazzi (1866-1952) 1,2. Galeazzi fracture is a fracture of the radial diaphysis with disruption at the distal radioulnar joint (DRUJ). Typically, the mechanism of injury is forceful axial loading and torsion of the forearm. Galeazzi fracture-dislocation of the left forearm, with fracture of the distal third of the radius and disruption of the distal radioulnar joint. ![]() Galeazzi fracture is a fracture of the radial diaphysis with disruption at the distal radioulnar joint (DRUJ).
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