![]() ![]() DRUJ stability should be carefully assessed intraoperatively and addressed accordingly.ĭeforming forces (e.g., from the brachioradialis, pronator quadratus and the weight of the hand) make it difficult to control these fractures in a cast, hence there is a high percentage of failure with non-operative management. Plate and screw fixation is the preferred method, and the review describes the technique in detail, including how to address comminution. Treatment of AdultsĪdults with a Galeazzi fracture require open surgery for anatomic and rigid fixation of the radius shaft and stabilization of the DRUJ. Computed tomography (CT) or a radiograph of the contralateral wrist can be useful for assessing the DRUJ. ![]() In some cases, injury to the DRUJ is purely ligamentous. More than 5 mm of shortening of the radius relative to the ulna.Dislocation of the radius relative to the ulna (on a true lateral view). ![]()
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