Galeazzi Fracture Fracture of distal radial shaft with distal radial-ulnar joint disruption. Remember “MUGR” to recall where the fracture is located. Here’s a quick summary. • Fracture of distal radial shaft with distal radial-ulnar joint (DRUJ) disruption, peak age 9-13 • Radius fracture will be obvious; signs of DRUJ disruption on x-ray include ulnar styloid fracture, widened DRUJ (usually 1-2 mm), 25 mm of radial shortening • Mechanism: Fall onto outstretched hand • Exam: swollen forearm and wrist, limited ROM especially in supination/pronation and at wrist • Possible associated injuries: Rare • ED Management: Pain control • Splint: Posterior long arm with supination • Ortho consult: Yes • Disposition • Children: closed reduction of radius and DRUJ, usually do not require operative intervention • Adults: closed reduction of radius and DRUJ, always followed by ORIF of radius and stabilization of DRUJ MH/CCF/CWRU EM Res @MetroHealth_EM #Galeazzi #Fracture #Forearm #Radius #Radial #Distal #Radiology #XRay #Diagnosis #Management #Orthopedics #MSK
