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Pronation-Type Galeazzi-Equivalent Fracture: A Case Report
Ali M Alahmari1, Haneen Hafiz2, Abdulrhman M Alfaidi3
1Orthopedics, King Fahad General Hospital, Jeddah, SAU.
Cureus
|September 14, 2023
Summary
Galeazzi-equivalent fractures in adolescents, a radius fracture with ulnar physeal injury, often require surgical intervention. Open reduction and internal fixation ensure bone union and full functional recovery, preventing long-term complications.
Area of Science:
- Orthopedic Surgery
- Pediatric Orthopedics
- Traumatology
Background:
- Galeazzi fractures, radius shaft fractures with distal radioulnar joint (DRUJ) dislocation, are rare in children.
- Galeazzi-equivalent fractures involve a radius fracture and a distal ulnar physeal injury, without DRUJ dislocation, presenting a unique pediatric challenge.
Observation:
- A 15-year-old male sustained a displaced Galeazzi-equivalent fracture after a fall.
- Initial closed reduction attempts failed, revealing a displaced and unstable fracture pattern requiring hospitalization.
Findings:
- Surgical intervention included open reduction and internal fixation (ORIF) for the radius fracture using a plate and screws.
- The irreducible ulna fracture was treated with ORIF using crossed Kirschner wires.
- Complete bone union was achieved, with a normal range of motion at six months postoperatively.
Implications:
- ORIF is recommended for pediatric Galeazzi-equivalent fractures with malalignment or in older adolescents with limited remodeling potential.
- Close follow-up is crucial to monitor for growth arrest and other potential complications post-surgery.
