Galeazzi fracture bone stimulator2/13/2024 ĬT imaging of the left wrist in the coronal plane. Complications of the Galeazzi-equivalent fracture include malunion, nonunion, chronic DRUJ instability, and ulnar growth arrest. Proper wrist images and wrist examination are mandatory to diagnose DRUJ injury and distal ulnar physeal injury. Galeazzi-equivalent fractures are not difficult to recognize but can be missed at first presentation. Our case was a pronation type, with a distal radius fracture with apex dorsal angulation, associated with a volar displacement of the ulnar epiphysis due to intact DLSS, and the ulnar metaphyseal displaced dorsally. The least frequent pattern is due to pronation force, which includes volar displacement of the distal radius and the distal ulna lying dorsally . A more typical injury pattern is due to supination force, where the dorsal displacement of the distal radius occurs, in which the distal ulna lies volar. The classification of pediatric Galeazzi injuries was described by Walsh and McLaren based on the direction of the displacement of the distal radial fracture. This type is called Galeazzi-equivalent fracture. In immature bones, the physis is weaker and less resistant than the DLSS. There is a variation of this lesion: radial fracture associated with distal ulnar displaced physeal injury without dislocation of DRUJ, which is stabilized using a distal ligamentous stabilizing system (DLSS), including distal volar and dorsal radioulnar ligaments and triangular fibrocartilage complex. Radial shaft fracture with dislocation of the distal radioulnar joint (DRUJ), called Galeazzi fracture, is unusual in pediatric cases and was reported to occur in <3% of all forearm pediatric fractures, especially in 9- to 13-year-olds. Regular serial follow-up sessions are required to assess growth arrest and the occurrence of other complications.įractures of the forearm are common among children and adolescents. In conclusion, open reduction is desired for patients with malalignment or older patients who have a lower potential for sufficient bone remodeling. At two-year follow-up, complications such as DRUJ instability or joint deformity did not occur. The patient is now able to perform daily and sports activities. Complete bone union was achieved, and he had a normal range of motion six months postoperatively. The ulna fracture was irreducible therefore, ORIF with two crossed smooth Kirschner wires (K-wires) was performed. Open reduction and internal fixation (ORIF) with a plate and screw were used for the radius fracture. The patient was subsequently hospitalized for surgical intervention. After a trial of close reduction, an X-ray showed a displaced and unstable fracture pattern. Left wrist X-rays showed a displaced Galeazzi-equivalent fracture. Our patient was a male, aged 15 years, who visited our emergency department after falling off a scooter onto his left hand. It is a radius fracture associated with a distal ulnar displaced physeal injury without dislocation of the DRUJ. The Galeazzi-equivalent fracture is a variant of the classic Galeazzi fracture that occurs in children and adolescents. Radial shaft fracture with dislocation of the distal radioulnar joint (DRUJ), called Galeazzi fracture, is unusual in pediatrics. Fractures of the forearm are common among children and adolescents.
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