The Galeazzi fracture is a fracture of the distal third of the radius with dislocation of the distal radioulnar joint. It classically involves an isolated fracture of the. However, there is an anatomic pathological variant of Galeazzi lesion. It is a fracture of the shaft of the radius, which associates diaphyseal. Unstable Fracture-Dislocations of the ForearmThe Monteggia and Galeazzi Lesions. Frederick W. Reckling, MD; Larry D. Cordell, MD. Arch Surg.
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Galeazzi Lesions in Children and Adolescents: Treatment and Outcome
Minimally displaced fractures were reduced using conscious sedation at the outpatient department and the patients were excluded from the study.
This injury is confirmed on radiographic evaluation. In case of irreducibility or persistent instability, operative treatment was performed with plate osteosynthesis or intramedullary nailing depending on the fracture localization.
Furthermore, we did not have a clear strategy for immobilization of Galeazzi fractures; therefore, the decision to use below- or above-elbow casts followed the preferences of the treating surgeon. Additionally, we sought to report the proportion of conservative versus operative treatments in pediatric Galeazzi lesions.
Each author certifies that his or her institution either has waived or does not require approval galeeazzi the human protocol for this investigation and that all investigations were conducted in conformity with ethical principles of research. Unfortunately, our patients could not describe the exact mechanism of injury. The objective of this retrospectively designed study was to describe all Galeazzi lesions treated at our department during a 3-year period.
Long-term instability of the DRUJ after Galeazzi llesion was not observed in our series of pediatric patients.
Duverney fracture Pipkin fracture. Sign in to download free article PDFs Sign in to access your subscriptions Sign in to your personal account. Forearm trauma may be associated with compartment syndrome.
In case of irreducibility, manipulation under general anesthesia is required to exclude possible soft tissue impingement. After the injury, the fracture is subject to deforming forces including those of the brachioradialispronator quadratusand thumb extensors, as well as the weight of the hand.
Galeazzi fractures are best treated with open reduction of the radius and the distal radio-ulnar joint. A clinical examination to identify possible instability before reduction has no consequences. Although Frykman [ 3 ] produced this fracture experimentally with axial loading alone, others [ 1418 ] assume this fracture is a combination of hyperpronation and a fall on the outstretched hand.
The average age of the patients without a Galeazzi lesion was similar at This score is based on a rating system considering residual deformity, pain, range of motion, and complications during treatment. A Galeazzi lesion was defined as a fracture of one or both bones of the forearm at any level in combination with a dislocation of the DRUJ. Galeazzi fractures in children. During operative treatment of the fracture, anatomic reduction of the radius is achieved.
Fractures in children are different from adult-type fractures. In the pediatric population, good results after closed reduction and casting have been reported [ 1019 ]. If soft tissue impingement is suspected, an open procedure for exploration of the joint and open reduction and internal fixation are mandatory.
In adults, Galeazzi fractures usually require operative treatment. This rupture was caused by a prominent and sharp nail end close to the tendon. A possible reason for the considerable rate of overlooked Galeazzi lesions may be a lack of information regarding the specific classification of fractures in the distal forearm. This may be attributed to the fact that early functional treatment was possible. What other anatomic structure is most commonly injured with this fracture?
Monteggia, Galeazzi and Essex-Lopresti lesions. About three months after initial surgery he was operated for implant removal and antibiotic impregnated cement was inserted.
According to the guidelines of the local ethics committee, informed written consent was not required for this retrospective study. HPI – Patient sustained galeazzi fracture right radius 8months back.
Voigt C, Lill H. Numerous authors stated a considerable rate of secondary displacements and nonunions may result in case of conservative treatment [ 7101316 ]. This group consisted of eight patients with an initially diagnosed Galeazzi injury cast in full supination and one patient with a Galeazzi lesion after fracture of the radius and ulna, which was misdiagnosed as a fracture of the forearm and recognized at the time of this review cast in neutral position.
Clin Orthop Relat Res. Children and adolescents frequently present to emergency departments with fractures of the forearm [ 17 ].
Galeazzi Fractures – Trauma – Orthobullets
Reckling, MD ; Larry D. Register for email alerts with links to free full-text articles Access PDFs of free articles Manage your interests Save searches and receive search alerts. Proximal Supracondylar Holstein—Lewis fracture.
Nonsurgical treatment results in persistent or recurrent dislocations of the distal ulna. Above-elbow casts are useful with fractures of both bones of the forearm but are not required in typical Galeazzi injuries.
Am J Emerg Med. Especially with markedly displaced forearm fractures, a Galeazzi lesion should be considered by the treating surgeon. Infobox medical condition new.
Treatment in children and adolescents is usually possible with closed reduction and casting. As a consequence of intramedullary fracture stabilization, the patient had hypoesthesia in the area of the superficial radial nerve over the first extensor compartment.