Image Based Question – 73900

A child presented with pain in the forearm following a trauma. An AP and lateral X-ray of the forearm reveal the findings as shown. What is the most likely diagnosis?

A. Colle’s fracture

B. Smith fracture

C. Monteggia fracture

D. Galeazzi’s fracture

Correct Answer » D Explanation

Ans: D. Galeazzi’s fracture

(Ref Apley’s 9/e p771)

• In the given X-ray, a transverse or short oblique fracture is seen in the lower third of the radius, with angulation or overlap.
• The distal radio-ulnar joint is subluxated or dislocated.
• Classically seen in Galeazzi’s fracture.

Galeazzi’s fracture’s X-ray:

• A transverse or short oblique fracture is seen in the lower third of the radius, with angulation or overlap.
• The distal radio-ulnar joint is subluxated or dislocated.