![]() Fluoroscopy should be used to assess stability of the DRUJ after reduction.Īdolescents are more likely to need open or percutaneous fixation to stabilise the DRUJ after reduction. When is reduction (non-operative and operative) required?įor children, most of these fractures can be managed with closed reduction. If there is an isolated radius fracture, always examine the DRUJ on x-ray.įigure 2: 14 year old boy with Galeazzi fracture-dislocation. These fractures are often missed and may be difficult to recognise. ![]() What radiological investigations should be ordered?Īnteroposterior (AP) and lateral x-ray of the forearm, which includes the wrist and elbow, should be obtained. Deformity through the forearm is usually clinically evident. The forearm and wrist will be painful to move. There will be swelling at the distal forearm and/or wrist. More common is the Galeazzi equivalent, where there is a distal radius fracture with a distal ulna physeal fracture but without disruption of the DRUJ (Figure 1).įigure 1: A Galeazzi equivalent injury is characterised by fracture of the radius with fracture through the distal growth plate of the ulna but without disruption of the DRUJ. The most common mechanism is a fall on an outstretched hand with forearm rotation. These injuries are very rare in children. How common are they and how do they occur? They can be classified by the direction of the ulna displacement:ģ. How are they classified?Ī Galeazzi fracture-dislocation is a fracture of the distal third of the shaft of the radius with a disruption to the DRUJ. If there is an isolated radius fracture, always examine the distal radioulnar joint (DRUJ) on x-ray.įor all Galeazi fracture-dislocations, the arm should be splinted and the nearest orthopaedic on call service should be consulted. Galeazzi fracture-dislocations are often missed and may be difficult to recognise. What are the potential complications associated with this injury?.What is the usual ED management for this fracture?.Do I need to refer to orthopaedics now?. ![]()
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