Speaker Credentials
MS-II
Speaker Credentials
MD
College
College of Allopathic Medicine
Medical Specialty
Emergency Medicine
Format
Poster
Start Date
November 2024
End Date
November 2024
Track
2
Abstract
The Importance of a Second Look: A Rare Combination of a Galeazzi Fracture and Lunate Dislocation Introduction. A Galeazzi fracture involves a fracture of the middle to distal one-third of the radius with dislocation of the distal radioulnar joint (DRUJ), commonly caused by forceful impact to an outstretched hand with a hyperpronated forearm. This case describes a Galeazzi fracture with a concomitant lunate dislocation, a diagnosis that is frequently missed in the presence of an obvious distal radial fracture. We are seeking to underscore the importance of close radiographic analysis, especially when an obvious fracture is present. Case Presentation. A 22-year-old man presented with pain and deformity in the left wrist and forearm following an automobile collision. X-ray imaging demonstrated a displaced transverse/short oblique fracture of the distal third of the left radius with a dislocation of the DRUJ, ulna styloid fracture, and volar dislocation of the lunate. The patient underwent open reduction and internal fixation of the radius shaft fracture and the lunate dislocation along with radio-carpal ligaments repair and median nerve decompression. The DRUJ was completely stable after fixation of the radius fracture. The patient regained full composite digital flexion and extension after 5 months of occupational therapy. Deviation From the Expected. The uniqueness of this case stems from the combination of a Galeazzi fracture and lunate dislocation. Discussion. While the Galeazzi fracture is easily distinguished on imaging, a lunate dislocation is subtle and often overlooked. It is imperative for technicians and clinicians to be aware of the potential for rare combination injuries. Conclusion. Enhanced expertise regarding perilunate injuries and lunate dislocations should significantly decrease missed diagnoses and enhance clinical outcomes.
Included in
Analytical, Diagnostic and Therapeutic Techniques and Equipment Commons, Medical Education Commons, Musculoskeletal System Commons
The Importance of a Second Look: A Rare Combination of a Galeazzi Fracture and Lunate Dislocation
The Importance of a Second Look: A Rare Combination of a Galeazzi Fracture and Lunate Dislocation Introduction. A Galeazzi fracture involves a fracture of the middle to distal one-third of the radius with dislocation of the distal radioulnar joint (DRUJ), commonly caused by forceful impact to an outstretched hand with a hyperpronated forearm. This case describes a Galeazzi fracture with a concomitant lunate dislocation, a diagnosis that is frequently missed in the presence of an obvious distal radial fracture. We are seeking to underscore the importance of close radiographic analysis, especially when an obvious fracture is present. Case Presentation. A 22-year-old man presented with pain and deformity in the left wrist and forearm following an automobile collision. X-ray imaging demonstrated a displaced transverse/short oblique fracture of the distal third of the left radius with a dislocation of the DRUJ, ulna styloid fracture, and volar dislocation of the lunate. The patient underwent open reduction and internal fixation of the radius shaft fracture and the lunate dislocation along with radio-carpal ligaments repair and median nerve decompression. The DRUJ was completely stable after fixation of the radius fracture. The patient regained full composite digital flexion and extension after 5 months of occupational therapy. Deviation From the Expected. The uniqueness of this case stems from the combination of a Galeazzi fracture and lunate dislocation. Discussion. While the Galeazzi fracture is easily distinguished on imaging, a lunate dislocation is subtle and often overlooked. It is imperative for technicians and clinicians to be aware of the potential for rare combination injuries. Conclusion. Enhanced expertise regarding perilunate injuries and lunate dislocations should significantly decrease missed diagnoses and enhance clinical outcomes.