Galeazzi fracture

Galeazzi fracture

The Galeazzi fracture is a fracture of the radius with dislocation of the distal radioulnar joint. It classically involves an isolated fracture of the junction of the distal third and middle third of the radius with associated subluxation or dislocation of the distal radio-ulnar joint; the injury disrupts the forearm axis joint. They are seen most often in males.

They are associated with a fall on an outstretched arm.After the injury, the fracture is subject to deforming forces including those of the brachioradialis, pronator quadratus, and thumb extensors, as well as the weight of the hand. The deforming muscular and soft-tissue injuries that are associated with this fracture cannot be controlled with plaster immobilization.

Galeazzi fractures are sometimes associated with wrist drop due to injury to radial nerve, extensor tendons or muscles. loss of the pinch mechanism between the thumb and index finger.

Galeazzi fractures are best treated with open reduction of the radius and the distal radio-ulnar joint^.It has been called the "fracture of necessity," because it necessitates open surgical treatment in the adult. However, in skeletally immature patients such as children, the fracture is typically treated with closed reduction.Nonsurgical treatment results in persistent or recurrent dislocations of the distal ulna

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