![]() ![]() ![]() If the ulnar head is irreducible, or unstable, further steps need to be undertaken and these will be described in detail later. Then check the position of the ulnar head, which reduces spontaneously in most cases. A high index of suspicion, early recognition, and acute treatment of DRUJ instability will avoid chronic problems in this complex injury. First, the radius will be reduced and fixed openly. Urgent referral is warranted as rapid healing in children will make. ![]() Only one of these fractures had intraoperative DRUJ instability after open reduction and internal fixation of the radial shaft fracture. Galeazzi fracture-dislocations involve a fracture of the distal third of the radius. Eighteen type II fractures were in the middle third of the radial shaft more than 7.5 cm from the midarticular surface of the distal radius. caused by inadequate rehabilitation of a previous injury. This report suggests that early forearm rotation of most Galeazzi fracture-dislocations was possible following acceptable reduction and stability of both the radius and the DRUJ. Twenty-two type I fractures were in the distal third of the radius within 7.5 cm of the midarticular surface of the distal radius 12 of these cases were associated with intraoperative DRUJ instability. Fracture of radius with dislocation of distal radial- ulnar joint. Surgical Treatment in Adults: - see plating techniques: - adults tend to have poor results with closed reduction - most adults require compression plates & screws (see below) - w/ pure transverse frx, 4 hole 4. Two patterns of fracture-dislocation were identified based on the location of the radial shaft fracture. Intraoperative distal radioulnar joint (DRUJ) instability after anatomic reduction was managed with supplemental wire transfixion of the DRUJ (10 patients) or open reduction and triangular fibrocartilage complex repair (3 patients). Forty patients with Galeazzi fracture-dislocations were treated with open reduction and internal fixation of the radial shaft fracture. ![]()
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