![]() ![]() After the operation, the limb was rested in a long arm cast with the elbow in 90° of flexion and the forearm in a mid-prone position. His elbow had been asymptomatic before the operation and so was not formally tested for instability. His elbow range of movement was checked immediately after fixation, and radiographs confirmed the elbow to be in joint. Our patient underwent open reduction and anatomic fixation of the distal radius fracture with a compression plate via a standard volar Henry approach. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.įigure 1 Radiographs at initial presentation show a comminuted fracture of the right radial shaft (junction of middle and distal thirds) and distal radioulnar joint (DRUJ) dislocation but no evidence of elbow dislocation. © 2011 Rajeev et al licensee BioMed Central Ltd. Radiographs showed a comminuted fracture of the right shaft of the radius (at the junction of the middle and distal thirds) with an associated DRUJ dislocation but no evidence of elbow dislocation (Figure 1). ![]() A clinical examination revealed a closed and neurovascularly intact injury with bony tenderness and inability to move the right forearm. His main complaint was of a painful and clinically deformed right forearm. Our report represents an unusual case of fracture of the distal third of the radius with subacute posterior dislocation of the ipsilateral elbow.Ī 26-year-old Caucasian man presented to our department with an isolated right forearm injury, which he sustained after falling off his motorbike. Shaft of the radius are associated with acute elbow dislocations. * Correspondence: Department of Trauma and Orthopaedics, Queen Elizabeth Hospital, Gateshead, NE9 6SX, UK Variants of this injury are described in the literature, but the most common is a fracture of the distal third of the radius with DRUJ dislocation, whereas fractures of the proximal third and As both the radius and ulna are rigidly constrained proximally and distally, fracture of one bone in isolation is a rarity and usually is associated with dislocations of either the proximal or distal radioulnar joint. Originally described by Sir Astley Cooper in 1822, the injury was renamed after Italian surgeon Ricardo Galeazzi, who described it again in 1934. Therefore, we recommend that, in every case of forearm fracture, both elbow and wrist joints be assessed clinically as well as radiologically for subluxation or dislocation.įractures of the distal third of the radius which are associated with acute distal radioulnar joint (DRUJ) dislocations are known as Galeazzi fracture-dislocation. This can lead to instability of the elbow joint. Our patient was noted to have full elbow and forearm function at three months.Ĭonclusions: Although the Galeazzi fracture-dislocation has been classically described as involving only the distal radioulnar joint, traumatic forces can be transmitted to the elbow via the interosseous membrane of the forearm. ![]() However, clinical and radiological evidence of ipsilateral elbow dislocation was noted at a five-week follow-up, subsequently requiring open reduction of the joint and collateral ligament repair. Post-operative radiographs films were satisfactory. He sustained a closed, isolated Galeazzi fracture-dislocation of the right forearm and no associated elbow injuries, and this necessitated open reduction and internal fixation of the radius. To the best of our knowledge, this has not been previously reported in the English literature.Ĭase presentation: A 26-year-old Caucasian man presented to our department after a fall from a motorbike. We report this case because of the rare association of posterior dislocation of the elbow along with Galeazzi fracture-dislocation. The associated distal radioulnar joint injury may be purely ligamentous in nature, tearing the triangular fibrocartilaginous complex, or involve bony tissue (that is, ulnar styloid avulsions) or both. It is an injury classified as a radial shaft fracture with associated dislocation of the distal radioulnar joint and disruption of the forearm axis joint. Introduction: The Galeazzi fracture-dislocation was originally described by Sir Astley Cooper in 1822 but was named after Italian surgeon Ricardo Galeazzi in 1934. Subacute dislocation of the elbow following Galeazzi fracture-dislocation of the radius: A case reportĪysha Rajeev, Shanaka Senevirathna* and John Harrison ![]()
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