GALEAZZI FRACTUREDISLOCATION

DEFINISI

an injury pattern involving a radial shaft

fracture with associated dislocation of the
distal radioulnar joint (DRUJ); the injury
disrupts the forearm axis joint.

Isolated fractures of the junction of the distal

third and middle third of the radius with
associated subluxation or dislocation of the
DRUJ

ETIOLOGI

The etiology of the Galeazzi fracture is

thought to be a fall that causes an axial load
to be placed on a hyperpronated forearm.

PATOFISIOLOGI

The deforming forces include those of the

brachioradialis, pronator quadriceps, and
thumb extensors,as well asthe weight of the
hand. The deforming muscular and soft-tissue
injuries that are associated with this fracture
cannot be controlled with plaster
immobilization.

Mechanism: Fall on outstretched hand with

elbow flexed

PRESENTATION

Pain and soft-tissue swelling are present at the

distal-third radial fracture site and at the wrist joint.
Forearm trauma may be associated with
compartment syndrome.
Anterior interosseous nerve (AIN) palsy may also be
present, but itis often overlooked because there is
no sensory component to this finding.Injury to the
AIN can cause paralysis of the flexor pollicis longus
(FPL) and flexor digitorum profundus (FDP) to the
index finger, resultingin loss of the pinch
mechanism between the thumb and index finger.

RADIOLOGI

Standard anteroposterior (AP) and true lateral

forearm views are obtained, must include of
the wrist and the elbow.
Transverse or oblique fracture in the lower
third of radius, with angulation or overlap
Inferior radioulnar joint is subluxated or
dislocated
A bilateral, axial computed tomography (CT)
scan of the forearm is the preferred imaging
study for diagnosing DRUJ disruption.

galeazzi
fracture of the radius
with angulation
associated dislocation
of the distal ulna

COLLES FRACTURE

DEFINISI

Transverse fracture of radius just above the

wrist, with dorsal displacement of distal
fragment
Common in older people and related to
postmenopausal osteoporosis

MECHANISM

usually caused by a fall onto an outstretched

hand
Bone fracture at the corticocancellous junction
and distal fragment collapse into extension,
dorsal displacement, radial tilt and shortening

PRESENTATION

Dinner-fork deformity, with prominence on

the back of the wrist and depression in front
Minimal deformity local tenderness and
pain on wrist movemeent

RADIOLOGI

Transverse fracture of radius at the

corticocancellous junction
Ulnar styloid process is often broken of
Radial fragment is impacted into radial and
backwards tilt
Sometimes is severely comminuted or
crushed

Dorsal angulation of
fracture fragment

SMITH FRACTURE

DEFINISI

Or Reverse Colles fracture

Tranverse fractur of radius just above the
wrist, with distal fragment displace anteriorly

MECHANISM

Fall on the back of the hand

Distal fragment displaced volarly
Ulnar head can be displaced dorsally

PRESENTATION

Garden-Spade deformity

RADIOLOGI

Fracture through distal radial metaphysis

Distal fragment is displaced and tilted
anteriorly

TERIMA KASIH