![]() However, the true incidence remains unknown because Galeazzi lesions are frequently underdiagnosed. Misdiagnosis or inappropriate treatment will result in persistent DRUJ instability and wrist pain, as well as decreased grip strength and forearm rotation.Īsley Cooper was the first to describe a distal radial shaft fracture with disruption of the DRUJ in 1824. 1 However, this injury has become connected with the name of Ricardo Galeazzi who in 1934 reported his experience with 18 such cases. 2 It is also known as reverse Monteggia fracture, Piedmond fracture, or Darrach–Hughston–Milch fracture, while the term “fracture of necessity” is also frequently used to describe this inherently unstable injury that requires surgical treatment to achieve favorable outcomes, particularly in adults. The term Galeazzi-equivalent lesion was introduced in 1982 to describe a fracture of the distal radius in association with a fracture of the distal pole of the ulna in adults or separation of distal ulnar epiphysis without DRUJ disruption in children. Galeazzi fracture-dislocation may occur during a fall and less frequently during motor vehicle accidents, electric shock, or blunt trauma. He succeeded Abraham Colles ( Colles fracture) as Professor of Surgery at Trinity College, Dublin.It is the result of forceful axial loading of the maximally pronated forearm while the wrist is in extension. Named by Robert William Smith (1807-1873) who was a surgeon in Dublin, Ireland. ![]() History and etymologyįirst named for Jean-Gaspard-Blaise Goyrand, French physician (1746-1814) 4. More importantly, it also narrows and distorts the entry to the carpal tunnel and can result in carpal tunnel syndrome 1. Malunion, with a residual volar displacement of the distal radius results in a cosmetic deformity, referred to as a garden spade deformity. If the fracture can be reduced but remains unstable, or cannot be reduced then operative fixation ( ORIF) is usually required 1. In most cases, these fractures can be treated with closed reduction and cast application 1. Treatment depends on the type of fracture, stability and ability to successfully reduce the fracture. assess articulation of radio-lunate and radio-scaphoid joint.ensure no carpal malalignment or fractures are present. ![]()
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