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There was no distal neurovascular deficit. Ulnar heads were found to have dislocated dorsally bilaterally. On examination, bilateral forearms were found to be deformed at middle third and distal one-third junction with swelling, tenderness, and instability of bilateral wrists. The patient complained of severe pain and deformity in his wrists and forearms bilaterally. Clinically injury to head, neck, chest, abdomen, pelvis, and lower limbs were ruled out. Here, we report a case of early rehabilitation in bilateral Galeazzi fracture dislocation where both DRUJ were unstable after fixation of radius but transfixing K wires provided the required stability needed for early mobilization that hastened his occupational rehabilitation.Ī 36-years-old man, horse trainer by occupation presented to the orthopedics emergency department with a history of fall on outstretched hands with forearm in pronation while riding a horse. To avoid these consequences, early commencement of rehabilitation is necessary but for that the DRUJ must be stable after radial fixation. , Operative treatment followed by conventional immobilization of 6-8 weeks is usually followed by good outcome, but it takes nearly 1 year for occupational rehabilitation and most cases are associated with restricted terminal range of motion. Galeazzi fracture dislocations represent 3-4% of forearm fractures and bilateral Galeazzi fracture dislocations are rare. Because of the poor results of nonoperative treatment, this injury has been referred to as a "fracture of necessity" in adults. The Galeazzi fracture is a fracture of the middle to distal third of the radius associated with dislocation and/or instability of the distal radioulnar joint (DRUJ). Early rehabilitation in unstable bilateral Galeazzi fracture dislocation: Role of transfixing K wires.

Keywords: Bilateral, distal radio-ulnar joint, galaezzi, rehabilitation, transfixing k- wires The patient had complete range of motion and occupational rehabilitation by 4 months. Here, we report a case of early rehabilitation in a 36-years-old horse trainer with bilateral Galeazzi fracture dislocation where both DRUJ were unstable after fixation of radius but transfixing K wires provided the required stability needed for early mobilization.

Operative treatment followed by conventional immobilization of 6-8 weeks is usually followed by good outcome, but it takes nearly 1 year for occupational rehabilitation and most cases are associated with restricted terminal range of motion.