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Twisting Tales: Unraveling the Complexities of the Galeazzi Fracture

Author: Zachary Brandt BS, Molly Estes MD
Orthopedic Commentary: Rodney Brandt MD
Peer-Reviewer: Mark Hopkins, MD, CAQ-SM
Final Editor: Alex Tomesch, MD, CAQ-SM

A 30-year-old male presents to the ED after a motorcycle accident. You find a wrist deformity on his exam. There is a 2+ radial pulse and motor/sensation of the hand is intact.

 Image 1. Plain radiograph of the right forearm. Case courtesy of Leonardo Lustosa, Radiopaedia.org, rID: 166236



References

[1] Lustosa L, Galeazzi fracture-dislocation. Case study, Radiopaedia.org (Accessed on 25 Nov 2023) https://doi.org/10.53347/rID-166236

[2] Walsh HP, McLaren CA, Owen R. Galeazzi fractures in children. J Bone Joint Surg Br. 1987 Nov;69(5):730-3. doi: 10.1302/0301-620X.69B5.3680332. PMID: 3680332.

[3] David E. Ruchelsman, Keith B. Raskin, Michael E. Rettig, CHAPTER 22 - Galeazzi Fracture-Dislocations, Editor(s): David J. Slutsky, A. Lee Osterman, Fractures and Injuries of the Distal Radius and Carpus, W.B. Saunders, 2009, Pages 231-239, ISBN 9781416040835, https://doi.org/10.1016/B978-1-4160-4083-5.00024-X

[4] Alajmi T. Galeazzi Fracture Dislocations: An Illustrated Review. Cureus. 2020 Jul 24;12(7):e9367. doi: 10.7759/cureus.9367. PMID: 32850236; PMCID: PMC7444983.

[5] Andrew D. Perron, Robert E. Hersh, William J. Brady, Theodore E. Keats, Orthopedic pitfalls in the ED: Galeazzi and Monteggia fracture-dislocation, The American Journal of Emergency Medicine, Volume 19, Issue 3, 2001, Pages 225-228, ISSN 0735-6757,https://doi.org/10.1053/ajem.2001.22656.

[6] Galanopoulos I, Fogg Q, Ashwood N, Fu K. A widely displaced Galeazzi-equivalent lesion with median nerve compromise. BMJ Case Rep. 2012 Aug 18. 2012

[7] Atesok, Kivanc I. MD; Jupiter, Jesse B. MD; Weiss, Arnold-Peter C. MD. galeazzi Fracture. American Academy of Orthopaedic Surgeon 19(10):p 623-633, October 2011.

[8] Tsismenakis T, Tornetta P 3rd. Galeazzi fractures: Is DRUJ instability predicted by current guidelines? Injury. 2016 Jul;47(7):1472-7. doi: 10.1016/j.injury.2016.04.003. Epub 2016 Apr 20. PMID: 27138839.