Fracture of the distal third of the radius with associated Distal radio-ulna joint (DRUJ) disruption.
1822 – Fracture pattern actually first described by Sir Astley Cooper some 110 years prior to Galeazzi’s publication. Copper describes cases of radius fracture with DRUJ disruption and ulna dislocation [pp473–476] [Plate XXVIII Fig 1,2] [Image]
Astley Cooper description 1822
1912 – Williakm Darrach (1876–1948) reported a 20 year old male presenting with an 8 week old injury with ‘fracture of the radial shaft 2.5 inches above the lower margin with anterior bowing and a forward dislocation of the head of ulna‘. He attempted closed reduction unsuccessfully prior to open reduction and splinting in pronation. Reviewed 18 months later, found patient unable to pronate/supinate – recommended subperiosteal excision of the distal end of the ulna for delayed cases of ulnar head dislocation (Darrach procedure)
1922 – Homans and Smith attempted open reduction of the radius fracture and applied a splint, but found a tendency for angulation and delayed union in cases associated with a dislocation of the radioulnar joint
1925 – Further attempts at open reduction by Wilson and Cochrane (1925) and Milch (1926) with triangular fibrocartilage repair with a fascial graft – with poor outcomes
1934 – Riccardo Galeazzi described radial shaft fracture with associated DRUJ dislocation and published his experience of 18 cases. He reduced the radial shaft fracture by pulling on the thumb with the forearm in the supinated position, and the ulnar head by radially deviating the wrist, and maintained the reduction using a plaster of Paris cast.
- Galeazzi fracture-dislocation
- Reverse Monteggia fracture
- Piedmont fracture
- Darrach Hughston-Milch fracture
Fracture pattern actually first described by Sir Astley Cooper in 1822 and published in 1824 some 110 years prior to Galeazzi’s publication.
- Cooper A. A treatise on dislocations, and on fractures of the joints. London: Longman; 1824. [pp473–476] [Plate XXVIII Fig 1,2]
- Darrach W. Forward dislocation at the inferior radio-ulnar joint with fractures of the lower third of the radius. Ann Surg 1912;56:801–803.
- Lau FH, Chung KC. William Darrach, MD: his life and his contribution to hand surgery. J Hand Surg Am. 2006 Sep;31(7):1056-60. [PMID 16945703]
- Homans J, Smith J. Fracture of the lower end of the radius associated with fracture or dislocation of the lower end of the ulna. Boston Med Surg J 1922;187:401–406.
- Galeazzi R. Di una particolare sindrome traumatica dello scheletro dell’ avambraccio. Atti e memorie della Società lombarda di chirurgia. (Of a particular traumatic syndrome of the forearm’s skeleton. Acts and memories of the Lombard society of Surgery). 1934;2:663–666.
- Galeazzi R. Uber ein besonderes Syndrom bei Verletzungen im Bereich der Unterarmknochen. Archiv fur orthopadische und Unfall Chirurgie 1935;35:557–562.