Galeazzi fracture-dislocation - Revision history

Rossdonaldson1 at 18:12, 17 March 2018

2018-03-17T18:12:44Z

← Older revision		Revision as of 18:12, 17 March 2018
Line 14:		Line 14:
	*Inspect skin for signs of open fracture		*Inspect skin for signs of open fracture
	*Assess distal pulses, motor, and sensation		*Assess distal pulses, motor, and sensation
	*Imaging: Plain radiographs		*Imaging: Plain radiographs<ref>Atesok KI, Jupiter JB, Weiss AP. Galeazzi fracture. J Am Acad Ortho Surg 2011; 19: 623-33</ref>
	**PA: May only show slightly increased distal radioulnar joint space		**PA: May only show slightly increased distal radioulnar joint space
	**Lateral: Ulna is displaced dorsally		**Lateral: Ulna is displaced dorsally
Line 28:		Line 28:

	==Disposition==		==Disposition==
	*If splinted and stabilized, can be discharged after consultation with Ortho		*If splinted and stabilized, can be discharged after consultation with Ortho<ref>Atesok KI, Jupiter JB, Weiss AP. Galeazzi fracture. J Am Acad Ortho Surg 2011; 19: 623-33</ref>
	**Will need close follow-up for likely operative repair		**Will need close follow-up for likely operative repair

	===Admit for===		===Admit for<ref>Atesok KI, Jupiter JB, Weiss AP. Galeazzi fracture. J Am Acad Ortho Surg 2011; 19: 623-33</ref>===
	*[[Open fracture]]		*[[Open fracture]]
	*Signs of neurovascular injury		*Signs of neurovascular injury
Line 38:		Line 38:
	==See Also==		==See Also==
	*[[Forearm Fracture]]		*[[Forearm Fracture]]

			==External Links==
			*http://radiopaedia.org/articles/galeazzi-fracture-dislocation

	==References==		==References==
	~~<ref>Atesok KI, Jupiter JB, Weiss AP. Galeazzi fracture. J Am Acad Ortho Surg 2011; 19: 623-33</ref>~~
	<references/>		<references/>
	*http://radiopaedia.org/articles/galeazzi-fracture-dislocation

	[[Category:Orthopedics]]		[[Category:Orthopedics]]

Rossdonaldson1: /* Disposition */

2018-03-17T18:11:31Z

Disposition

← Older revision		Revision as of 18:11, 17 March 2018
Line 30:		Line 30:
	*If splinted and stabilized, can be discharged after consultation with Ortho		*If splinted and stabilized, can be discharged after consultation with Ortho
	**Will need close follow-up for likely operative repair		**Will need close follow-up for likely operative repair
	*Admit for:
	**Open fracture		===Admit for===
	**Signs of neurovascular injury		*[[Open fracture]]
	**Concern for compartment syndrome		*Signs of neurovascular injury
			*Concern for [[compartment syndrome]]

	==See Also==		==See Also==
	*[[Forearm Fracture]]		*[[Forearm Fracture]]

Rossdonaldson1: /* Management */

2018-03-17T18:11:12Z

Management

← Older revision		Revision as of 18:11, 17 March 2018
Line 23:		Line 23:
	*[[Long arm posterior splint]] with elbow flexed 90° and forearm '''pronated'''		*[[Long arm posterior splint]] with elbow flexed 90° and forearm '''pronated'''
	**Linked image indicates neutral position of forearm, rather than pronation		**Linked image indicates neutral position of forearm, rather than pronation
	*Pediatrics:
	**Can manage with closed reduction if DRUJ stable after splinting		===Pediatrics===
			*Can manage with closed reduction if DRUJ stable after splinting

	==Disposition==		==Disposition==
	*If splinted and stabilized, can be discharged after consultation with Ortho		*If splinted and stabilized, can be discharged after consultation with Ortho

Jglee3 at 16:46, 14 March 2018

2018-03-14T16:46:15Z

← Older revision		Revision as of 16:46, 14 March 2018
Line 12:		Line 12:

	==Evaluation==		==Evaluation==
	*PA: May only show slightly increased distal radioulnar joint space		*Inspect skin for signs of open fracture
	*Lateral: Ulna is displaced dorsally		*Assess distal pulses, motor, and sensation
			*Imaging: Plain radiographs
			**PA: May only show slightly increased distal radioulnar joint space
			**Lateral: Ulna is displaced dorsally
	[[File:Galeazzi fx.jpeg\|thumb\|Galeazzi Fracture]]		[[File:Galeazzi fx.jpeg\|thumb\|Galeazzi Fracture]]

Line 20:		Line 23:
	*[[Long arm posterior splint]] with elbow flexed 90° and forearm '''pronated'''		*[[Long arm posterior splint]] with elbow flexed 90° and forearm '''pronated'''
	**Linked image indicates neutral position of forearm, rather than pronation		**Linked image indicates neutral position of forearm, rather than pronation
			*Pediatrics:
			**Can manage with closed reduction if DRUJ stable after splinting
	==Disposition==		==Disposition==
	*If splinted and stabilized, can be discharged after consultation with Ortho		*If splinted and stabilized, can be discharged after consultation with Ortho

Jglee3 at 16:39, 14 March 2018

2018-03-14T16:39:42Z

← Older revision		Revision as of 16:39, 14 March 2018
Line 32:		Line 32:

	==References==		==References==
			<ref>Atesok KI, Jupiter JB, Weiss AP. Galeazzi fracture. J Am Acad Ortho Surg 2011; 19: 623-33</ref>
	<references/>		<references/>
	*http://radiopaedia.org/articles/galeazzi-fracture-dislocation		*http://radiopaedia.org/articles/galeazzi-fracture-dislocation

	[[Category:Orthopedics]]		[[Category:Orthopedics]]

Jglee3 at 16:18, 14 March 2018

2018-03-14T16:18:40Z

← Older revision		Revision as of 16:18, 14 March 2018
Line 22:		Line 22:

	==Disposition==		==Disposition==
			*If splinted and stabilized, can be discharged after consultation with Ortho
			**Will need close follow-up for likely operative repair
			*Admit for:
			**Open fracture
			**Signs of neurovascular injury
			**Concern for compartment syndrome
	==See Also==		==See Also==
	*[[Forearm Fracture]]		*[[Forearm Fracture]]

Rossdonaldson1 at 06:29, 5 January 2017

2017-01-05T06:29:34Z

← Older revision		Revision as of 06:29, 5 January 2017
Line 7:		Line 7:
	==Clinical Features==		==Clinical Features==
	*Localized tenderness/swelling over distal radius/wrist		*Localized tenderness/swelling over distal radius/wrist

			==Differential Diagnosis==
			{{Forarm fracture DDX}}

	==Evaluation==		==Evaluation==
Line 12:		Line 15:
	*Lateral: Ulna is displaced dorsally		*Lateral: Ulna is displaced dorsally
	[[File:Galeazzi fx.jpeg\|thumb\|Galeazzi Fracture]]		[[File:Galeazzi fx.jpeg\|thumb\|Galeazzi Fracture]]

	~~==Differential Diagnosis==~~
	~~{{Forarm fracture DDX}}~~

	==Management==		==Management==
Line 20:		Line 20:
	*[[Long arm posterior splint]] with elbow flexed 90° and forearm '''pronated'''		*[[Long arm posterior splint]] with elbow flexed 90° and forearm '''pronated'''
	**Linked image indicates neutral position of forearm, rather than pronation		**Linked image indicates neutral position of forearm, rather than pronation

			==Disposition==

	==See Also==		==See Also==

Rossdonaldson1: /* Background */

2017-01-05T06:28:56Z

Background

← Older revision		Revision as of 06:28, 5 January 2017
Line 3:		Line 3:
	**Concurrent Ulnar Styloid fracture is common		**Concurrent Ulnar Styloid fracture is common
	*Caused by FOOSH with flexed elbow or direct blow		*Caused by FOOSH with flexed elbow or direct blow
			*Arm equivalent of a [[Maisonneuve fracture]]

	==Clinical Features==		==Clinical Features==

Neil.m.young: Text replacement - "==Diagnosis==" to "==Evaluation=="

2016-07-21T23:47:15Z

Text replacement - "==Diagnosis==" to "==Evaluation=="

← Older revision		Revision as of 23:47, 21 July 2016
Line 7:		Line 7:
	*Localized tenderness/swelling over distal radius/wrist		*Localized tenderness/swelling over distal radius/wrist

	==~~Diagnosis~~==		==Evaluation==
	*PA: May only show slightly increased distal radioulnar joint space		*PA: May only show slightly increased distal radioulnar joint space
	*Lateral: Ulna is displaced dorsally		*Lateral: Ulna is displaced dorsally

Neil.m.young: Text replacement - "* " to "*"

2016-07-04T10:10:16Z

Text replacement - "* " to "*"

← Older revision		Revision as of 10:10, 4 July 2016
Line 1:		Line 1:
	==Background==		==Background==
	*Radius fracture (distal third) + distal radioulnar dislocation		*Radius fracture (distal third) + distal radioulnar dislocation
	** Concurrent Ulnar Styloid fracture is common		**Concurrent Ulnar Styloid fracture is common
	*Caused by FOOSH with flexed elbow or direct blow		*Caused by FOOSH with flexed elbow or direct blow