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Galeazzi fractures and dislocations.

Filippos S Giannoulis1, Dean G Sotereanos

  • 1Department of Orthopaedic Surgery, Allegheny General Hospital, 1307 Federal North Street, Pittsburgh, PA 15212, USA.

Hand Clinics
|June 6, 2007
PubMed
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Galeazzi fractures, involving the radius and distal radioulnar joint (DRUJ), are unstable. Surgical intervention including open reduction and internal fixation is crucial for optimal functional recovery in adults.

Area of Science:

  • Orthopedic Surgery
  • Traumatology
  • Radiology

Background:

  • Galeazzi fractures, first described in 1934, involve the middle and distal radius with distal radioulnar joint (DRUJ) instability.
  • These injuries are inherently unstable due to disruption of the triangular fibrocartilage complex (TFCC), often with associated ulna styloid fractures.

Purpose of the Study:

  • To highlight the diagnostic and management principles for Galeazzi fractures.
  • To emphasize the importance of recognizing DRUJ instability in these injuries.

Main Methods:

  • Review of the classic description and characteristics of Galeazzi fractures.
  • Emphasis on clinical examination for DRUJ instability.
  • Discussion of surgical treatment principles.

Related Experiment Videos

Main Results:

  • Galeazzi fractures present with significant instability.
  • Disruption of the TFCC is a key factor in the instability.
  • Surgical treatment is indicated for adults.

Conclusions:

  • A high index of suspicion is necessary for diagnosing Galeazzi fractures.
  • Thorough assessment of DRUJ stability is mandatory.
  • Comprehensive surgical management addressing both bone and soft tissue injuries is essential for successful outcomes.