- Treatment in Children:
- frx is usually displaced dorsally and shortened in bayonette position;
- due to the significant force needed for reduction, consider GEA;
- closed reduction w/ longitudinal traction, & correction of radial angulation;
- difficult reduction may be due to entrapment of pronator quadratus over the proximal fragment;
- in some cases, anatomic reduction may not be possible with simple closed reduction;
- although in the past, bayonet position was accepted in children younger than 8 years, this is no longer the standard of care;
- in this situation, the child should receive general anesthesia and undergo repeated closed reduction;
- if closed reduction is still not possible, then insert a 1 mm K wire percutaneously into fracture site and use it "lever" the fracture
into a reduced position;
- w/ radius out to length the
distal RU joint is reduced and held in full supination in a long arm cast for 6 weeks;
- in child over 12 yrs, if reduction is not acceptable, then treatment is ORIF of radius w/ 4 hole plate & closed reduction of
distal RU joint;
Variant of Galeazzi fracture-dislocation in children. MJ Landfried et al. JPO Vol 11(3) 1991. p 332-335.
Galeazzi-equivalent injuries of the wrist in children. M Letts and N Rowhani. JPO. Vol 13(5) 1993. p 561-566.
Galeazzi fractures in children.
Variant of Galeazzi fracture-dislocation in children.
Angular remodeling of midshaft forearm fractures in children.
Forearm fractures in children. Cast treatment with the elbow extended.
The Management of Isolated Distal Radius Fractures in Children. Gibbons C., Woods DA, Pailthorpe J. Pediatric Orthopaedics 1994. 14: 207-210.
