Galeazzi-equivalent injuries of the wrist in children.
Fracture of the distal radius with dislocation of the distal ulna, the so-called Galeazzi fracture, is uncommon in children. A variant, the "Galeazzi-equivalent fracture" involving a separation of the distal ulnar growth plate with displacement of the ulnar metaphysis was shown to be more common than the "classic" Galeazzi fracture in a 15-year review of this fracture pattern at the Children's Hospital of Eastern Ontario. An analysis of outcome of 10 fractures showed less favorable results in the six Galeazzi-equivalent fractures compared to the four classic Galeazzi injuries, with one child sustaining a complete growth plate arrest of the distal ulna secondary to an equivalent injury. Recognition of the Galeazzi-equivalent fracture pattern is sometimes difficult. To define the various fracture patterns in an attempt to facilitate diagnosis and management, a classification of the Galeazzi injury complex in children has been devised. Reduction of all Galeazzi injury patterns is best accomplished with the forearm in full supination in an above-elbow cast.
Department of Surgery, Children's Hospital of Eastern Ontario, University of Ottawa, Canada.
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M
Letts
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N
Rowhani
D000293:Adolescent; D002648:Child; D005260:Female; D006801:Humans; D004204:Joint Dislocations / Q000000981:diagnostic imaging*; D008297:Male; D011859:Radiography; D011885:Radius Fractures / Q000145:classification* / Q000000981:diagnostic imaging / Q000628:therapy; D014457:Ulna / Q000293:injuries*; D014954:Wrist Injuries / Q000145:classification* / Q000000981:diagnostic imaging / Q000628:therapy