Galeazzi Fracture: Distal Radius Fracture with Dislocated Distal Radioulnar Joint

A Galeazzi fracture is a radius shaft fracture accompanied by disruption of the distal radio-ulnar joint (DRUJ). These fractures are uncommon in children and may be atypical compared to those in adults. Diagnostic vigilance is important, as these injuries are frequently missed (Walsh et al. 1987). The classic injury pattern as attributed to Galeazzi is an unstable fracture of the radius shaft at the junction of the middle and distal thirds plus injury to the distal radioulnar joint, usually the triangulo-fibro-cartilage complex (TFCC). However, due to the unique features of the physes in the skeletally immature patient, the mode of failure is more often through bony elements (Landfried et al. 1991). Ultimately, restoration of normal anatomy is imperative in the treatment of these injuries. Failure to do so may result in loss of forearm rotation, instability of the DRUJ, or chronic wrist pain.