Galeazzi fracture-dislocation

Background

• Radius fx (distal third) + distal radioulnar dislocation
  • Concurrent Ulnar Styloid fracture is common
• Caused by FOOSH with flexed elbow or direct blow

Clinical Features

• Localized tenderness/swelling over distal radius/wrist

Diagnosis

• PA: May only show slightly increased distal radioulnar joint space
• Lateral: Ulna is displaced dorsally

Galeazzi Fracture

Differential Diagnosis

Forearm Fracture Types

• Distal radius fractures
  • Colles' fracture
  • Smith fracture
  • Barton fracture
  • Radial styloid fracture (Chauffeur's fracture)
  • Die-punch fracture
  • Distal radioulnar joint disruption
• Radius and ulna fracture (both-bone forearm fracture)
• Radial head fracture
• Isolated ulna fracture (i.e. nightstick)
• Monteggia fracture-dislocation
• Galeazzi fracture-dislocation
• Essex-Lopresti fracture
• Forearm fracture (peds)
  • Greenstick fracture
  • Torus fracture

Management

• Consult ortho in the ED; likely requires ORIF

See Also

• Forearm Fracture

Source

• http://radiopaedia.org/articles/galeazzi-fracture-dislocation