Galeazzi fracture-dislocation: Difference between revisions
Ostermayer (talk | contribs) (Text replacement - "Category:Ortho" to "Category:Orthopedics") |
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*[[Forearm Fracture]] | *[[Forearm Fracture]] | ||
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*http://radiopaedia.org/articles/galeazzi-fracture-dislocation | *http://radiopaedia.org/articles/galeazzi-fracture-dislocation | ||
[[Category:Orthopedics]] | [[Category:Orthopedics]] | ||
Revision as of 22:07, 25 June 2016
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
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