FX DE GALEAZZI PDF

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Average 4. Thank you for rating! Please vote below and help us build the most advanced adaptive learning platform in medicine. Just skip this one for now. Definitive management of this injury involves the following: Review Topic Tested Concept. Perform closed reduction of the radius, then immobilize the forearm in a long arm cast in supination. Perform open reduction and internal fixation of the radius, then assess the proximal radioulnar joint for instability, and percutaneously fix the proximal radioulnar joint if instability persists.

Perform open reduction and internal fixation of the radius, then assess the distal radioulnar joint for instability, and reconstruct the distal radioulnar joint with a looped palmaris longus autograft if instability persists. Perform closed reduction of the radius, then assess the distal radioulnar joint for instability, and perform internal fixation of the radius if instability persists.

Perform open reduction and internal fixation of the radius, then assess the distal radioulnar joint for instability, and percutaneously fix the distal radioulnar joint if instability persists. What other anatomic structure is most commonly injured with this fracture? Review Topic Tested Concept. During operative treatment of the fracture, anatomic reduction of the radius is achieved. However, the surgeon is unable to reduce the distal radioulnar joint.

What structure is most likely impeding the reduction? Galeazzi Fractures. Deborah Allen. Please rate topic. Please vote below and help us build the most advanced adaptive learning platform in medicine The complexity of this topic is appropriate for? L2 - PGY3. L3 - PGY4. L4 - PGY5. L5 - Fellow. L6 - years in practice. L7 - years in practice. L8 - 10 years in practice.

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Nabil Ebraheim. Derek Moore. Orthobullets Team. Listen Now min. Radial Shaft Fx Nonunion C Please login to add comment. Cancel Save. Symptoms pain, swelling, deformity Physical exam point tenderness over fracture site ROM test forearm supination and pronation for instability DRUJ stress causes wrist or midline forearm pain. Surgical Techniques. Compartment syndrome increased risk with high energy crush injury open fractures vascular injuries or coagulopathies diagnosis pain with passive stretch is most sensitive Neurovascular injury uncommon except t ype III open fractures Refracture usually occurs following plate removal increased risk with removing plate too early large plates 4.

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Galeazzi lesions in children and adolescents: treatment and outcome. Clin Orthop Relat Res. Galeazzi fractures and dislocations. Hand Clin.

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Average 4. Thank you for rating! Please vote below and help us build the most advanced adaptive learning platform in medicine. Just skip this one for now. Definitive management of this injury involves the following: Review Topic Tested Concept. Perform closed reduction of the radius, then immobilize the forearm in a long arm cast in supination. Perform open reduction and internal fixation of the radius, then assess the proximal radioulnar joint for instability, and percutaneously fix the proximal radioulnar joint if instability persists.

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Galeazzi Fractures

The Galeazzi fracture is a fracture of the distal third of the radius with dislocation of the distal radioulnar joint. It classically involves an isolated fracture of the junction of the distal third and middle third of the radius with associated subluxation or dislocation of the distal radio-ulnar joint; the injury disrupts the forearm axis joint. Pain and soft-tissue swelling are present at the distal-third radial fracture site and at the wrist joint. This injury is confirmed on radiographic evaluation. Forearm trauma may be associated with compartment syndrome. Anterior interosseous nerve AIN palsy may also be present, but it is easily missed because there is no sensory component to this finding.

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