12/10/2023 0 Comments Management of galeazzi fractureSee the Guidelines for Authors for a complete description of levels of evidence.Ĭhildren and adolescents frequently present to emergency departments with fractures of the forearm. Level of Evidence: Level IV, therapeutic study. However, proper reduction of the radius with concomitant reduction of the distal radioulnar joint and cast immobilization provides good to excellent outcome even if the Galeazzi lesion is primarily not recognized. In cases of distal forearm fractures, a possible Galeazzi lesion should be considered. The results were excellent in 23 cases and good in three cases. Thirteen patients were treated with immobilization in a below-elbow cast and nine with an above-elbow cast. Casting after fracture reduction was possible in 22 patients. Eight of 26 (31%) fractures were recognized initially and classified as a Galeazzi lesion. Outcome was assessed using the Gartland-Werley score. In 26 (13%) cases, a Galeazzi lesion was found and these patients formed the study group. One hundred ninety-eight patients with displaced fractures of the radius alone or both bones of the forearm were reviewed. The objective of this retrospectively designed study was to describe all Galeazzi lesions treated at our department during a 3-year period. Treatment in children and adolescents is usually possible with closed reduction and casting. A Galeazzi fracture is defined as a fracture of the radius associated with dislocation of the distal radioulnar joint.
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