Management and functional outcome of Galeazzi fracture dislocation: a single centre retrospective study

Rohit Varma, S. S. Wani, S. K. Rai


Background:Galeazzi fracture dislocation is an unstable fracture dislocation of forearm that includes fracture of distal third or fourth shaft of radius with dislocation of distal radioulnar joint. The aim of the study was to analyse the management and functional outcome of Galeazzi fracture dislocation managed with fixation of radius fracture and distal radioulnar joint stabilisation with two Kirschner wires.

Methods:Thirty one patients with Galeazzi fracture dislocation were managed with plate fixation for radius fracture and distal radioulnar joint stabilisation with 2 Kirschner wires. They were clinically and radiographically assessed for functional outcome as well as union, distal radioulnar joint stability and any arthrosis of the wrist joint.

Results:Functional outcome was assessed based on disability of shoulder, arm, and hand index. 94% of the patients in our series had good to fair outcome with 6% having poor outcome.

Conclusions:All Galeazzi fracture dislocation should be managed with plate fixation for radius fracture and Kirschner wire stabilisation of distal radioulnar joint followed by splinting for 6 weeks for best functional outcome.


Galeazzi fracture, Distal radioulnar joint, Dislocation, Arthrosis, Triangular fibrocartilage

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Sebastin SJ, Chung KC. A historical report on Riccardo Galeazzi and the management of Galeazzi fractures. J Hand Surg Am. 2010;35(11):1870-7.

Giannoulis FS, Sotereanos DG. Galeazzi fractures and dislocations. Hand Clin. 2007;23(2):153-63.

Rettig ME, Raskin KB. Galeazzi fracture-dislocation: A new treatment oriented classification. J Hand Surg Am. 2001;26(2):228-35.

Tsai PC, Paksima N. The distal radioulnar joint. Bull NYU Hosp Jt Dis. 2009;67(1):90-6.

Nicolaidis SC, Hildreth DH, Lichtman DM. Acute injuries of the distal radioulnar joint. Hand Clin. 2000;16(3):449-59.

Adams BD. Distal radioulnar joint instability, in Berger RA, Weiss AP, editors. Hand Surgery. Philadelphia, PA, Lippincott Williams & Wilkins; 2004: 337-354.

Moore TM, Lester DK, Sarmiento A. The stabilizing effect of soft-tissue constraints in artificial Galeazzi fractures. Clin Orthop Relat Res. 1985;(194):189-94.

LaStayo PC, Lee MJ. The forearm complex: Anatomy, biomechanics and clinical considerations. J Hand Ther. 2006;19(2):137-44.

Moore TM, Klein JP, Patzakis MJ, Harvey JP Jr. Results of compressionplating of closed Galeazzi fractures. J Bone Joint Surg Am. 1985;67(7):1015-21.

Maculé Beneyto F, Arandes Renú JM, Ferreres Claramunt A, Ramón Soler R. Treatment of Galeazzi fracture dislocations. J Trauma. 1994;36(3):352-5.

Mikić ZD. Galeazzi fracture dislocations. J Bone Joint Surg Am. 1975;57(8):1071-80.

Gosselin RA, Contreras DM, Delgado E, Paiement GD. Anterior dislocation of the distal end of the ulna after use of a compression plate for the treatment of a Galeazzi fracture: A case report. J Bone Joint Surg Am. 1993;75(4):593-6.

Katolik LI, Trumble T. Distal radioulnar joint dysfunction. Journal of the American Society for Surgery of the Hand. 2005;5(1):8-29.

Kikuchi Y, Nakamura T. Irreducible Galeazzi fracture-dislocation due to an avulsion fracture of the fovea of the ulna. J Hand Surg Br. 1999;24(3):379-81.

Mulford JS, Axelrod TS. Traumatic injuries of the distal radioulnar joint. Hand Clin. 2010;26(1):155-63.

Szabo RM. Distal radioulnar joint instability. J Bone Joint Surg Am. 2006;88(4):884-94.