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Galeazzi’s Fracture in Children

- 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.   

Galeazzi-equivalent injuries of the wrist in children.   

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.