Galeazzi

Galeazzi fracture is a fracture of the radius with dislocation of the distal radioulnar joint. It is a type of fracture-dislocation of the wrist. Galeazzi fractures are uncommon and account for less than 7% of all forearm fractures. They are often seen in adults, with a peak incidence at 30-40 years of age.

Etiology

Galeazzi fractures are caused by a fall on an outstretched hand (FOOSH). The force of the fall is transmitted to the radius, causing it to fracture. The same force can also cause the distal radioulnar joint to dislocate.

Clinical Features

Patients with a Galeazzi fracture present with pain, swelling, and deformity of the wrist. There may also be a loss of normal wrist and forearm function.

Diagnosis

The diagnosis of a Galeazzi fracture is made based on the patient's history, physical examination, and imaging studies. X-ray is the most commonly used imaging modality. It can show the fracture of the radius and the dislocation of the distal radioulnar joint.

Treatment

The treatment of Galeazzi fractures involves reduction of the fracture and dislocation, followed by immobilization in a cast. Surgery may be required in some cases.

Prognosis

The prognosis for Galeazzi fractures is generally good, with most patients achieving a full recovery. However, complications can occur, including nonunion of the fracture, malunion, and post-traumatic arthritis.

See Also

• Distal radius fracture
• Smith's fracture
• Colles' fracture

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