Pediatric fractures

A 14-year-old male was hit in the right forearm while playing football and experienced immediate pain and swelling.

He was taken to a local hospital and radiographs revealed a closed right-sided distal radius fracture and associated dislocation of the distal radius ulna joint (Galeazzi fracture-dislocation). He was referred to us for definitive management.

Open reduction and internal fixation (ORIF) was performed and the fracture was reduced and fixed using a locking plate and screws including an inter-fragmentary lag screw.

He returned for regular follow-up and healed uneventfully. At the time of his latest follow-up visit, 8 months following fracture surgery, he has excellent radiographic and clinical results including a healed distal radius fracture in excellent alignment, resolution of pain, full range of motion, and a return to pre-injury activities.

  • Figure A

    Figure A

    Anteroposterior (AP) and lateral radiographs revealing a right-sided distal radius fracture and associated dislocation of the distal radius ulna joint (Galeazzi fracture-dislocation).

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  • Figure B

    Figure B

    Intraopaerative fluoroscopic radiographs.

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  • Figure C

    Figure C

    AP and lateral radiographs 8 months following fracture surgery illustrating a healed distal radius fracture in excellent alignment.

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New York Fracture Care

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David L. Helfet, MD 
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