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.