Galeazzi fracture
| Classification according to ICD-10 | |
|---|---|
| S52.31 | Fracture of the distal radius shaft with dislocation of the ulnar head Galeazzi fracture |
| ICD-10 online (WHO version 2019) | |
A Galeazzi fracture (after the Italian surgeon Riccardo Galeazzi , 1866 to 1952) is understood to be the fracture of the radius in the shaft area or near the wrist with a tear in the interosseous membrane and the ligament connection with the ulna (ulna) - the distal radioulnar joint (DRUG) and thereby caused (sub) dislocation (dislocation) of the ulna. A Galeazzi fracture is caused by applying force to the forearm that is turned outwards.
With about 3 to 6% of forearm fractures, galeazzi fractures are quite rare. In the case of isolated radial shaft fractures, however, such accompanying injuries must always be looked for, as an injury that has been overlooked and inadequately treated in the DRUG can lead to profound functional losses up to the loss of the ability to rotate the forearm or a weakness in the wrist caused by instability.
The treatment of a Galeazzi fracture consists of surgical stabilization of the fracture with metal plates and immobilization of the distal radioulnar joint, for example with strong Kirschner wires . A direct suture of the DRUG can, but does not have to be done. The arm must then be immobilized in the upper arm cast in the supination position for 6 weeks.
Galeazzi fracture with complete dislocation of the distal radioulnar joint (arrow)
Same fracture after osteosynthetic treatment. The DRUG is fixed with two strong Kirschner wires (arrows)
See also
Individual evidence
- ↑ RL Stewart: Forearm fractures . In: Andreas Wentzensen, Andrew H. Schmidt, James P. Stannard (Ed.): Special trauma surgery . Thieme, Stuttgart 2011, ISBN 3-13-165221-7 , p. 387 .
