Galeazzi fracture-dislocation: Difference between revisions
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==Clinical Features== | ==Clinical Features== | ||
*Localized tenderness/swelling over distal radius/wrist | *Localized tenderness/swelling over distal radius/wrist | ||
==Differential Diagnosis== | |||
{{Forarm fracture DDX}} | |||
==Evaluation== | ==Evaluation== | ||
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*Lateral: Ulna is displaced dorsally | *Lateral: Ulna is displaced dorsally | ||
[[File:Galeazzi fx.jpeg|thumb|Galeazzi Fracture]] | [[File:Galeazzi fx.jpeg|thumb|Galeazzi Fracture]] | ||
==Management== | ==Management== | ||
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*[[Long arm posterior splint]] with elbow flexed 90° and forearm '''pronated''' | *[[Long arm posterior splint]] with elbow flexed 90° and forearm '''pronated''' | ||
**Linked image indicates neutral position of forearm, rather than pronation | **Linked image indicates neutral position of forearm, rather than pronation | ||
==Disposition== | |||
==See Also== | ==See Also== | ||
Revision as of 06:29, 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
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)
Evaluation
- PA: May only show slightly increased distal radioulnar joint space
- Lateral: Ulna is displaced dorsally
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