![]() A Historical Report on Riccardo Galeazzi and the Management of Galeazzi Fractures. William Darrach, MD: his life and his contribution to hand surgery. Journal of Bone and Joint Surgery (British). Galeazzi injury with an associated fracture of the radial head. Results of compression-plating of closed Galeazzi fractures. RU joint with the extensor carpi ulnaris tendon. (Of a particular traumatic syndrome of the forearm’s skeleton). Galeazzi’s Fracture (Adults) - Galeazzi fracture-dislocation: a new treatment-oriented classification. Atti e memorie della Società lombarda di chirurgia. DRUJ stability should be carefully assessed. Plate and screw fixation is the preferred method, and the review describes the technique in detail, including how to address comminution. Di una particolare sindrome traumatica dello scheletro dell’ avambraccio. Adults with a Galeazzi fracture require open surgery for anatomic and rigid fixation of the radius shaft and stabilization of the DRUJ. Archiv fur orthopadische und Unfall Chirurgie 1934 35:557–562. Uber ein besonderes Syndrom bei Verletzungen im Bereich der Unterarmknochen. Fracture of the lower end of the radius associated with fracture or dislocation of the lower end of the ulna. Forward dislocation at the inferior radio-ulnar joint with fractures of the lower third of the radius. In: A treatise on dislocations, and on fractures of the joints. Compound dislocation of the ulna with fracture of the radius. Archiv fur orthopadische und Unfall Chirurgie 1934 He reduced the radial shaft fracture by pulling on the thumb with the forearm in the supinated position, and the ulnar head by radially deviating the wrist, and maintained the reduction using a plaster of Paris cast. ![]() ġ925 – Further attempts at open reduction by Wilson and Cochrane (1925) and Milch (1926) with triangular fibrocartilage repair with a fascial graft – with poor outcomesġ934 – Riccardo Galeazzi described radial shaft fracture with associated DRUJ dislocation and published his experience of 18 cases. Reviewed 18 months later, found patient unable to pronate/supinate – recommended subperiosteal excision of the distal end of the ulna for delayed cases of ulnar head dislocation (Darrach procedure) ġ922 – Homans and Smith attempted open reduction of the radius fracture and applied a splint, but found a tendency for angulation and delayed union in cases associated with a dislocation of the radioulnar joint. He attempted closed reduction unsuccessfully prior to open reduction and splinting in pronation. In his Treatise on dislocations, and on fractures of the joints Astley Cooper description 1822ġ912 – William Darrach (1876–1948) reported a 20 year old male presenting with an 8 week old injury with ‘ fracture of the radial shaft 2.5 inches above the lower margin with anterior bowing and a forward dislocation of the head of ulna‘. Copper describes cases of radius fracture with DRUJ disruption and ulna dislocation Compound dislocation of the ulna with fracture of the radius. Misdiagnosis or inadequate management of Galeazzi fracture may result in disabling complications, such as DRUJ instability, malunion, limited forearm range of motion, chronic wrist pain, and osteoarthritis.1822 – Fracture pattern first described by Sir Astley Cooper some 110 years prior to Galeazzi’s publication. Further intraoperative interventions are based on the reducibility and postreduction stability of the DRUJ. Anatomic reduction and rigid fixation should be followed by intraoperative assessment of the DRUJ. Open reduction and internal fixation is the preferred surgical option. In adults, nonsurgical treatment typically fails because of deforming forces acting on the distal radius and DRUJ. Subscribe to Codify by AAPC and get the code details in a flash. Nonsurgical management with anatomic reduction and immobilization in a long-arm cast has been successful in children. ICD-10 code S52.37 for Galeazzis fracture is a medical classification as listed by WHO under the range - Injury, poisoning and certain other consequences of external causes. Underdiagnosis is common because disruption of the ligamentous restraints of the DRUJ may be overlooked. Diagnosis is established on radiographic evaluation. Typically, the mechanism of injury is forceful axial loading and torsion of the forearm. Galeazzi fracture is a fracture of the radial diaphysis with disruption at the distal radioulnar joint (DRUJ).
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