Galeazzi fracture-dislocation: Difference between revisions
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**Concurrent Ulnar Styloid fracture is common | **Concurrent Ulnar Styloid fracture is common | ||
*Caused by FOOSH with flexed elbow or direct blow | *Caused by FOOSH with flexed elbow or direct blow | ||
*Arm equivalent of a [[Maisonneuve fracture]] | |||
==Clinical Features== | ==Clinical Features== | ||
Revision as of 06:28, 5 January 2017
Background
- Radius fracture (distal third) + distal radioulnar dislocation
- Concurrent Ulnar Styloid fracture is common
- Caused by FOOSH with flexed elbow or direct blow
- Arm equivalent of a Maisonneuve fracture
Clinical Features
- Localized tenderness/swelling over distal radius/wrist
Evaluation
- PA: May only show slightly increased distal radioulnar joint space
- Lateral: Ulna is displaced dorsally
Differential Diagnosis
Forearm Fracture Types
- Distal radius fractures
- Radia ulna fracture
- Isolated radius fracture (proximal)
- Isolated ulna fracture (i.e. nightstick)
- Monteggia fracture-dislocation
- Galeazzi fracture-dislocation
- Forearm fracture (peds)
Management
- Consult ortho in the ED; likely requires ORIF
- Long arm posterior splint with elbow flexed 90° and forearm pronated
- Linked image indicates neutral position of forearm, rather than pronation