The Galeazzi fracture is a fracture of the radius with dislocation or distal radioulnar joint. Galeazzi fractures are isolated fractures of the junction of the distal third and middle third of the radius with associated subluxation or dislocation of the DRUJ.Galeazzi fractures account for 3-7% of all forearm fractures. They are seen most often in males. Although Galeazzi fracture patterns are reportedly uncommon, they are estimated to account for 7% of all forearm fractures in adults.Pain and soft-tissue swelling are present at the distal-third radial fracture site and at the wrist joint. Forearm trauma may be associated with compartment syndrome.
Processing fracture Galeazzi is surgery to repair the fracture zone. Galeazzi fractures are better treated with open reduction of the radius and DRUJ. Closed reduction of the application and cast have led to unsatisfactory results. “Fracture of necessity” refers to the fact that the adult Galeazzi fracture is not amenable to treatment by means closed, hence the need for surgical stabilization. Apply ice at the surgical site as needed. To capitalize forearm in supination during 4 weeks with percutaneous removal of any pins to 4 weeks.
All adult Galeazzi fractures must be treated with open reduction and internal fixation (ORIF).
Galeazzi Fracture Treatment and Prevention Tips
1. Immobilize the forearm in supination for 4 weeks.
2. Apply ice to the operative site as needed.
3. Apply a long arm splint with the forearm placed in supination.
4. Surgery is repair the radius fracture.
5. Immediately after surgery, institute occupational therapy for digital and shoulder range of motion.