The Galeazzi fracture is a fracture of the distal third of the radius with dislocation of the distal radioulnar joint. It classically involves an isolated fracture of the. However, there is an anatomic pathological variant of Galeazzi lesion. It is a fracture of the shaft of the radius, which associates diaphyseal. Unstable Fracture-Dislocations of the ForearmThe Monteggia and Galeazzi Lesions. Frederick W. Reckling, MD; Larry D. Cordell, MD. Arch Surg.
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They are inherently unstable due to a variety of factors which are poorly understood by many surgeons.
Galeazzi Fractures – Trauma – Orthobullets
Mistakes in their management account for a high incidence lesio poor results. 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 proximal and distal joints must be carefully scrutinized in every fracture of the forearm.
When the ulna is fractured and shortened, the proximal radio-ulnar joint dislocates the Monteggia fracture. When the opposite occurs that is, the radius breaks and shortensthe distal radio-ulnar joint dislocates, resulting in the Galeazzi or “reverse Monteggia” fracture.
Reduction of these fracture-dislocations must be accurate and must be maintained until healing is complete, or there will be encroachment on the interosseous membranes.
Unstable Fracture-Dislocations of the Forearm: The Monteggia and Galeazzi Lesions. Reckling, MD ; Larry D.
[Galeazzi lesion in children and adults: the undiagnosed lesion].
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