![]() Other definitions do not distinguish between a Galeazzi and Piedmont fracture. This definition was described by Adam Greenspan, who emphasizes the lack of disruption of the distal radioulnar joint with a Piedmont fracture (unlike a Galeazzi fracture). The Galeazzi frac-ture-dislocation is a rare injury occurring in approxi-mately 6.8 of forearm fractures (Figures 1 and 2).21,25 The general mechanism of injury is hyperpronation with axial loading. Treated conservatively the interosseous space may be compromised with resulting loss of pronation and supination after bone reunion. To achieve an acceptable functional result, open reduction and internal fixation (ORIF) is typically required. Radial shaft fracture at the junction of the middle and distal thirdĪngulation of the distal fragment into the radioulnar space However, good quality orthogonal views are needed to identify correctly and characterize displacement. 'A Galeazzi fracture is an injury that requires surgical treatment in an adult. The Maisonneuve fracture is similar to the Galeazzi fracture in the sense that there is an important ligamentous disruption in association with the fracture. ![]() Plain radiographs are usually sufficient for diagnosis and management planning. The Galeazzi fracture-dislocation is an injury pattern involving isolated fractures of the junction of the distal third and middle third of the radius with associated subluxation or dislocation of the distal radioulnar joint (DRUJ) the injury disrupts the forearm axis joint. Piedmont fractures typically occur following a direct blow to the dorsoradial aspect of the forearm. Advances in radiography and fracture research have helped define, classify, and guide operative management. The fracture appears infrequently 2 and so far we have found no age or gender related predilection. PURPOSE: The purpose of this study was to classify Galeazzi type injuries and determine the association of residual instability after rigid fixation with. The Galeazzi fracture is a fracture of the middle to distal one-third of the radius associated with dislocation or subluxation of the distal radioulnar joint (DRUJ). The initial report about the study of the Piedmont Orthopedic Society is not entirely clear about an ulnar dislocation, which describes a closed fracture of the radial shaft at the junction of the middle and distal thirds without an associated fracture of the ulna 2. However, the society does describe distal radioulnar dislocation as a secondary complication of maltreatment and references older literature that does not differentiate between Piedmont and Galeazzi fractures. Typically, a maisonneuve fracture involves a fracture of the medial malleolus of the ankle with disruption of the tibiofibular syndesmosis.
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