Galeazzi Fracture

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The forearm X-ray of a young man following a dirt bike accident are shown. Clinically he has a deformed distal radius. The X-ray shows a classic Galeazzi fracture. There is a fracture of the distal radius(usually distal third, with dorsal angulation) and a dislocation of the distal radioulnar joint.

They can be split into Type I and type II depending on the position of the distal radius. Type I is dorsal displacement and type II is volar displacement.

Treatment is internal fixation and open reduction. However there should be an attempt at reduction in the ED.

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Dr Peter Kas

Emergency Physician, Educator. Key Interests: Resuscitation, Airway, Emergency Cardiology, Clinical Examination. Creator

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