The Galeazzi fracture-dislocation consists of:
- A Proximal ulna fracture with dislocation of the radial head
- B Mid-shaft radius fracture with subluxation of the proximal radioulnar joint
- C Distal ulnar fracture with carpal malalignment
- D Distal radius fracture with dislocation of the distal radioulnar joint (DRUJ) ✓
Explanation
Galeazzi fracture-dislocation involves a fracture of the distal third of the radius (within 7.5 cm of the wrist) combined with disruption of the distal radioulnar joint (DRUJ), causing dorsal dislocation or subluxation of the distal ulna. It is treated by ORIF of the radius fracture; reduction of the DRUJ usually occurs spontaneously after radius fixation, and the forearm is immobilised in supination. This is the reverse of a Monteggia injury (proximal ulna fracture + radial head dislocation).
Reference: Maheshwari Essential Orthopaedics, 6th ed.
High-yield for: NEET PGINI-CETNExTFMGEUSMLEPLABMRCP
Written and medically reviewed by the StethoPrep medical team.