Galeazzi Fractures

Galeazzi or Piedmont fracture refers to a fracture of the radial diaphysis at the junction of the middle and distal thirds with associated disruption of the distal radioulnar joint. This lesion is approximately three times as common as Monteggia fractures.

Fracture can occur anywhere along the radius or associated with fractures of both radius and ulna with distal radioulnar joint disruption. Galeazzi fractures may result from direct trauma to the wrist, typically on the dorsolateral aspect, or a fall onto an outstretched hand with forearm pronation.

Pain, swelling, and point tenderness over the fracture site are typically present. Galeazzi fractures typically present with wrist pain or midline forearm pain that is exacerbated by stressing of the distal radioulnar joint in addition to the radial shaft fracture.Neurovascular injury is rare.


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