![]() There was no evidence of neurovascular compromise, compartment syndrome, or other associated injuries. At presentation, there was an obvious deformity in both forearms and wrists, marked swelling, and pain on palpation. The patient was informed that data concerning the case would be submitted for publication, and he provided written consent.Ī 31-year-old man sustained injuries in both his forearms as he was riding his bicycle and collided at the side of a car crossing the road ahead of him. ![]() The aim of this article is to present a case of bilateral Galeazzi fracture-dislocations in a 31-year-old male, managed successfully with bilateral anatomical plate fixation of the radial shaft fracture without DRUJ stabilization. Bilateral Galeazzi fracture-dislocations are extremely rare and only a few case reports have been described in the literature. This fracture has been well known for its consequences to DRUJ stability and has been named “fracture of necessity” to clarify with early operative treatment, in terms of radial shaft fracture fixation that can reduce the dislocated ulna head without any other intervention in cases of an unstable DRUJ, as judged intraoperatively, transfixation pinning, fixation of the ulna styloid fracture or rarely, open reduction of the joint are required. Type I fractures, located at the distal third of the radius shaft or more specifically within 7.5 cm from its articular surface, demonstrate a higher incidence of DRUJ instability, requiring DRUJ stabilization in 53% to 55% of the patients. Galeazzi fractures account for 7% of adult forearm fractures (3% in children) and usually occur by axial loading of the outstretched arm with pronation or supination of the wrist, which determines the subsequent angulation of the fracture (i.e., apex volar in supination). This fracture pattern was first reported by Cooper in 1822, but it was Riccardo Galeazzi, who in 1934 presented a series of 18 patients and described the incidence, pathophysiology, and treatment of those injuries. Galeazzi fracture-dislocation is a fracture of the distal third of the radius shaft, associated with distal radioulnar joint (DRUJ) dislocation. At the last follow-up evaluation, six years postoperatively, the patient was pain-free, had a full range of motion with a total Mayo wrist score of 95 in both wrists. Bilateral Galeazzi fracture-dislocations are rare injuries requiring proper radial fracture management and thorough assessment of DRUJ stability. Postoperatively, the forearms were immobilized in a long forearm cast for four weeks. Internal fixation was accomplished in both fractures with an 8-hole, 3.5-mm locking plate the stability of the distal radioulnar joint (DRUJ) was assessed with several intraoperative tests and found to be stable so that no additional stabilization was necessary. Both radial shaft fractures were simple (AO type 22-A2.3), at the same level (Type I: <7.5 cm from the joint line), and without severe comminution having their apex located dorsally. Herein, we report the case of a 31-year-old bicyclist who sustained bilateral Galeazzi fracture-dislocations after a collision with a car. Bilateral Galeazzi fracture-dislocations are extremely rare injuries and only a few case reports have been described so far in the literature.
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