Galeazzi Fracture Clinical Presentation

Updated: Jun 01, 2018
  • Author: Janos P Ertl, MD; Chief Editor: Harris Gellman, MD  more...
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Presentation

History and Physical Examination

Pain and soft-tissue swelling are present at the distal-third radial fracture site and at the wrist joint. This injury is confirmed on radiographic evaluation (see Workup).

Forearm trauma may be associated with compartment syndrome. (See Chronic Exertional Compartment Syndrome for further treatment information.)

Anterior interosseous nerve (AIN) palsy may also be present, but it is often overlooked because there is no sensory component to this finding. A purely motor nerve, the AIN is a division of the median nerve. Injury to the AIN can cause paralysis of the flexor pollicis longus (FPL) and flexor digitorum profundus (FDP) to the index finger, resulting in loss of the pinch mechanism between the thumb and the index finger. [10]