Pediatric emergency medicine trisk 3480 3480
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FIGURE 111.29 Galeazzi fracture-dislocation. Posteroanterior (A ) and lateral (B ) radiographs
of the distal forearm show type I Galeazzi fracture-dislocation. Note the simple fracture of the
radius affecting the distal third of the bone, with the proximal end of the distal fragment
dorsally displaced and angulated. In addition, there is dislocation in the distal radioulnar joint,
most clearly seen on the lateral view. (Reprinted with permission from Greenspan A.
Orthopedic Imaging: a Practical Approach . 6th ed. Philadelphia, PA: Wolters Kluwer; 2015.)
Disposition . Patients with adequate reduction and casting of the fracture may be
discharged home with close orthopedic follow-up. Admission is necessary for any
patient who will require surgical management including adolescents with fracture
patterns treated primarily surgically, patients with failed reduction, and patients
with Galeazzi fracture-dislocations.
Fractures of the Distal Radius and Ulna
Goals of Treatment
A key challenge facing emergency clinicians in caring for patients with distal
radius and ulna fractures is diagnosing subtle fractures and recognizing when
