12/14/2023 0 Comments Management of galeazzi fractureFew reports exist that describes this injury pattern. Closed reduction and cast application have led to. When the opposite occurs (that is, the radius breaks and shortens), the distal radio-ulnar joint dislocates, resulting in the Galeazzi or "reverse Monteggia" fracture. Introduction: Galeazzi fracture associated with ipsilateral posterior elbow dislocation and radial head fracture is a rare pattern of injury. Approach Considerations Galeazzi fractures are best treated with open reduction of the radius and the distal radioulnar joint (DRUJ). When the ulna is fractured and shortened, the proximal radio-ulnar joint dislocates (the Monteggia fracture). The proximal and distal joints must be carefully scrutinized in every fracture of the forearm. 1 - 7, 9 - 15, 22 However, there is a paucity of. 18 Much of the literature has focused on the outcomes associated with management of the DRUJ injury. Although researchers have been unable to reproduce the mechanism of injury in a laboratory setting, Hughston outlined the definitive management of these fractures in 1957. In fractures of the forearm, any shortening of one bone of the forearm necessitates either a fracture of the other with equivalent shortening, or a dislocation at the proximal or distal radio-ulnar joint (Fig 1). Fracture of the radius shaft with disruption of the distal radioulnar joint (DRUJ) has commonly been referred to as a Galeazzi fracture following Dr Riccardo Galeazzi’s series report in 1935. Mistakes in their management account for a high incidence of poor results. They are inherently unstable due to a variety of factors which are poorly understood by many surgeons. FRACTURE-dislocations of the forearm are not common injuries.
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