Two K-wires were additionally inserted for fixation. After pushing the tip using K-wires, the fractured ulna was reduced. K-wires were percutaneously inserted close to the fractured tip of the distal ulnar. Fracture of the distal ulnar epiphysial plate showed partial reduction after fixation of the fractured radius. For this reason, after volar approach for anatomical reduction of the distal radius, following was the internal fixation using a 6-hole LC-DCP and 6 screws. Closed reduction was performed for reduction of the distal radius fracture, but reduction was not achieved properly. The surgery was held at the day of visit under general anesthesia. Since closed reduction was not sufficient enough, the patient was decided to undergo surgical treatment. The physical examination showed swelling and tenderness around the right wrist. Plain radiographs revealed fractures in the distal radius and fracture of the ulnar epiphyseal plate (Fig. Manual reduction and splinting was already done in a nearby medical center. A 13-year-old man without any medical history visited our emergency department after stumbling over a rock. Patient and his family had provided informed consent for publication of the case. Such imbalanced growth of the radius and ulna may trigger the increase of radial articular inclination in plain radiographs, and might result in dislocation of the DRUJ. If the patient is young enough to grow further, deformity might be triggered due to further growth of radius and the growth arrest of the ulna. Golz et al have reported ulnar growth arrest in 55% of Galeazzi-equivalent fracture cases. Malunion of the radius, which are mostly caused by reduction failure during closed reduction of the complete radial fractures, may cause subluxation of the DRUJ. Median neuropathy due to direct injury or traction ischemia may occur as a rare complication. Similar to other forearm fractures, complications include nerve compression, entrapment of tendons, nonunion, malunion, and infection. Such injuries of ligaments are not easy to diagnose, and may require physical examination of the DRUJ including assessment of local tenderness or joint instability. Protuberance of the ulnar head can be found if radial deformity is noted on inspection, and if the DRUJ injury is accompanied. Neurovascular injuries are uncommon in Galeazzi-equivalent fractures. If external force is applied to the distal ulna, even without the rupture of the triangular fibrocartilage complex (TFCC), isolated avulsion fractures of the epiphyseal plates, and Galeazzi-equivalent fractures might occur. ![]() The epiphysial plates of children are biomechanically weaker than the ligaments of DRUJ. Galeazzi equivalent fractures may commonly accompany distal radial fractures or injury of the epiphyseal plate of the distal ulna. ![]() Galeazzi-equivalent fractures, a variant of the classic Galeazzi fractures, mostly occur in children or adolescents. Type 2 fractures are triggered by axial loading to the pronated wrist joint, resulting in volar displacement of the radius and dorsal dislocation of the distal ulna. ![]() In adults, type 1 fractures are triggered by the axial loading to the supinated wrist joint, which results in dorsal displacement of the raidus and volar dislocation of the distal ulna. The mechanism of injury includes excessive rotation of the forearm and axial loading to the wrist joint, leading to fractures and injury to the DRUJ. The Classic Galeazzi fracture is an injury involving fracture of the radial shaft and the injury of the distal radioulnar joint (DRUJ). ![]() Prevalence rates in adults vary between articles, but prevalence rates have been reported to be <3% of all pediatric forearm fractures. Galeazzi fractures are uncommon, and are less common in children than in adults.
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