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  • Title: Galeazzi-equivalent injuries of the wrist in children.
    Author: Letts M, Rowhani N.
    Journal: J Pediatr Orthop; 1993; 13(5):561-6. PubMed ID: 8376552.
    Abstract:
    Fracture of the distal radius with dislocation of the distal ulna, the so-called Galeazzi fracture, is uncommon in children. A variant, the "Galeazzi-equivalent fracture" involving a separation of the distal ulnar growth plate with displacement of the ulnar metaphysis was shown to be more common than the "classic" Galeazzi fracture in a 15-year review of this fracture pattern at the Children's Hospital of Eastern Ontario. An analysis of outcome of 10 fractures showed less favorable results in the six Galeazzi-equivalent fractures compared to the four classic Galeazzi injuries, with one child sustaining a complete growth plate arrest of the distal ulna secondary to an equivalent injury. Recognition of the Galeazzi-equivalent fracture pattern is sometimes difficult. To define the various fracture patterns in an attempt to facilitate diagnosis and management, a classification of the Galeazzi injury complex in children has been devised. Reduction of all Galeazzi injury patterns is best accomplished with the forearm in full supination in an above-elbow cast.
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