Galeazzi Fracture - Everything You Need To Know - Dr. Nabil Ebraheim

Educational video describing the condition known as Galeazzi Fracture.
Galeazzi Fracture is fracture of the radial shaft which is associated with dislocation of the distal radioulnar joint (DRUJ). The Galeazzi Fracture is named after Ricardo Galeazzi who was an Italian surgeon in Milan. This injury is uncommon. About 7% of all forearm fractures in adults.
Fracture may be short, oblique or transverse. It involves fracture at the junction of the middle third and distal third of the radius with associated injury to the distal-ulnar joint.
The closer the fracture to the DRUJ, the more likely that it will be unstable. Dislocation of the DRUJ is usually dorsal. May be associated with either a ligamentous injury or fracture of the styloid process of the ulna. The fracture is usually located above the prximal border of the pronator quadratus muscle.
Galeazzi Fracture are best treated with open reduction and internal fixation of the radius and assessment of the distal radio-ulnar joint. Surgery is necessary.
Nonsurgical treatment in adults usually results in recurrent dislocation of the distal ulna and a bad outcome. Surgery is done by volar plate fixation. Followed by assessment of the distal radio-ulnar joint. If stable, splint the forearm in supination for 6 weeks
If the joint is unstable, reduce and pin the distal radio-ulnar joint in supination for about 4 weeks. If the joint is not reducible, open and explore the joint. Check for entrapment of the ECU.

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