Galeazzi Fracture-Dislocation

Aka: Galeazzi Fracture-Dislocation, Galeazzi's Fracture, Galeazzi Fracture, Dupuytren's Fracture of Radius, Reverse Monteggia Fracture

II. Epidemiology

  1. Rare in children

III. Description

  1. Fracture of the distal to middle-third shaft of radius
  2. Dislocation of Distal radio-ulnar joint (ulna will appear medially displaced at the wrist)
    1. Risk of Ulnar Nerve injury

IV. Mechanism

  1. Fall on Outstretched Hand with wrist extended and pronated

V. Exam

  1. See Forearm Fracture
  2. Evaluate for wrist deformity
  3. Evaluate for distal radioulnar joint tenderness

VI. Signs (Triad)

  1. Radius Fracture (distal third)
  2. Radius Shortening
  3. Radio-ulnar dislocation (often missed)
    1. Occurs due to shortening of Fracture
    2. Shortening can only occur with injury elsewhere

VII. Associated Conditions

  1. Distal radioulnar space widening
  2. Ulnar styloid Fracture
  3. Radius shortening
  4. Ulnar dislocation

VIII. Management

  1. Surgery usually required

IX. References

  1. Patel (2021) Am Fam Physician 103(6): 345-54 [PubMed]

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Related Studies

Ontology: Galeazzi fracture dislocation (C0434888)

Concepts Injury or Poisoning (T037)
ICD10 S52.37
SnomedCT 359823001, 54374003, 271576001
English Dupuytren fracture of radius, fracture of radius shaft galeazzi's, Galeazzi's fracture (diagnosis), Galeazzi's fracture, fracture of radius dupuytren's, Dupuytren's fracture of radius (diagnosis), Dupuytren's fracture of radius, Galeazzi's fracture of radius, Galeazzi fracture dislocation, Dupuytren's fracture of radius (disorder), Galeazzi fracture dislocation (disorder), Dupuytren's fracture of radius (disorder) [Ambiguous], Dupuytren's fracture, radius
Spanish fractura de Galeazzi del radio (trastorno), fractura de Galeazzi del radio, fractura de Dupuytren del radio (trastorno), fractura de Dupuytren del radio, fractura de Galeazzi (trastorno), fractura de Galeazzi del radio (concepto no activo), fractura de Galeazzi, fractura del radio de Galeazzi, fractura-luxación de Galeazzi (trastorno), fractura-luxación de Galeazzi
Derived from the NIH UMLS (Unified Medical Language System)

Related Topics in Forearm Disorders

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