Although Galeazzi fracture patterns are uncommon, they are estimated to account for about 3 of all forearm fractures in children and about 7 in adults and are seen most often in males. When the opposite occurs (that is, the radius breaks and shortens), the distal radio-ulnar joint dislocates, resulting in the Galeazzi or "reverse Monteggia" fracture. Galeazzi fracture is a condition where there is distal radial shaft fracture associated with disruption of the distal radioulnar joint. When the ulna is fractured and shortened, the proximal radio-ulnar joint dislocates (the Monteggia fracture). At the time of his latest follow-up visit, 8 months following fracture surgery, he has excellent radiographic and clinical results including a healed distal. Typically, Monteggia fracture-dislocations occur as the result of a fall onto an outstretched hand (FOOSH) 4. On completion of the acute healing phase, the K-wires were removed and progressive physical therapy was instituted. There were 30 males and 10 females with an average age at the time of surgery of 35 years (range, 19-47 years). The proximal and distal joints must be carefully scrutinized in every fracture of the forearm. The Galeazzi fracture-dislocation is a complex traumatic disruption of the distal radioulnar joint. For centuries, this fracture was classified as a dislocation of the wrist, but this description remains. In fractures of the forearm, any shortening of one bone of the forearm necessitates either a fracture of the other with equivalent shortening, or a dislocation at the proximal or distal radio-ulnar joint (Fig 1). The radius is the most commonly broken bone in the arm. This injury was described first by Astley Cooper1 in 1826 and later named after Riccardo Galeazzi who published his series of cases in 1934. Mistakes in their management account for a high incidence of poor results. Galeazzi fractures should be treated by open reduction and internal fixation. The Galeazzi fracture-dislocation is a fracture of the distal one-third of the radial shaft with an associated distal radioulnar joint (DRUJ) dislocation. such as a Smiths Fracture, Bartons, Die-punch, Galeazzi, and others. They are inherently unstable due to a variety of factors which are poorly understood by many surgeons. The broken end of the radius is pushed up and back relative to the rest of the. FRACTURE-dislocations of the forearm are not common injuries.
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