{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,27]],"date-time":"2025-08-27T19:10:06Z","timestamp":1756321806347,"version":"3.44.0"},"reference-count":18,"publisher":"BMJ","issue":"11","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2022,9,28]]},"published-print":{"date-parts":[[2022,11]]},"abstract":"<jats:p>A male in his 70s presented with a chronic malunited comminuted Galeazzi fracture dislocation, including angular malunion, radial shortening (1.3\u2009cm ulnar-plus variance) and distal radioulnar joint (DRUJ) instability secondary to chronic dislocation with mechanical rotation block. A modified, single-stage radius corrective osteotomy with bone grafting technique to overcorrect radius length was employed, restoring normal DRUJ motion and stability by engaging the secondary DRUJ stabilisers without triangular fibrocartilage complex repair. DRUJ stability was restored via radius lengthening, engaging the DRUJ\u2019s secondary stabilisers, bypassing the need for complex ligamentous reconstruction. The patient returned to full activity. We recommend our simple yet effective approach to treat chronic, malunited Galeazzi fractures with DRUJ instability.<\/jats:p>","DOI":"10.1136\/bcr-2022-250484","type":"journal-article","created":{"date-parts":[[2022,11,2]],"date-time":"2022-11-02T11:05:23Z","timestamp":1667387123000},"page":"e250484","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":0,"title":["Reconstructing a chronic, malunited Galeazzi fracture with distal radial ulnar joint instability: a simple, modified technique"],"prefix":"10.1136","volume":"15","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1757-8410","authenticated-orcid":false,"given":"Spencer R","family":"Anderson","sequence":"first","affiliation":[{"name":"Division of Plastic and Reconstructive Surgery, Wright State University Boonshoft School of Medicine, Dayton, Ohio, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hunter Charles","family":"Spitz","sequence":"additional","affiliation":[{"name":"Division of Orthopaedic Surgery, Mount Carmel Health System, Columbus, Ohio, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3470-9857","authenticated-orcid":false,"given":"Timothy Charles","family":"Frommeyer","sequence":"additional","affiliation":[{"name":"Wright State University Boonshoft School of Medicine, Fairborn, Ohio, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sunishka M","family":"Wimalawansa","sequence":"additional","affiliation":[{"name":"Division of Plastic and Reconstructive Surgery, Wright State University Boonshoft School of Medicine, Dayton, Ohio, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2022,11,2]]},"reference":[{"key":"2025082711492856000_15.11.e250484.1","doi-asserted-by":"crossref","first-page":"557","DOI":"10.1007\/BF02581917","article-title":"\u00dcber ein besonderes Syndrom bei Verletzungen im Bereich der Unterarmknochen","volume":"35","author":"Galeazzi","year":"1934","journal-title":"Arch orthop Unfall-Chir"},{"key":"2025082711492856000_15.11.e250484.2","first-page":"453","article-title":"Riccardo galeazzi and galeazzi\u2019s fracture","volume":"58","author":"Reckling","year":"1965","journal-title":"Surgery"},{"key":"2025082711492856000_15.11.e250484.3","doi-asserted-by":"publisher","DOI":"10.1016\/j.jhsa.2010.08.032"},{"key":"2025082711492856000_15.11.e250484.4","doi-asserted-by":"publisher","DOI":"10.1007\/s11999-008-0268-6"},{"key":"2025082711492856000_15.11.e250484.5","first-page":"37","article-title":"Chronic galeazzi fracture-dislocation: a case report","volume":"10","author":"Alajmi","year":"2020","journal-title":"J Orthop Case Rep"},{"key":"2025082711492856000_15.11.e250484.6","doi-asserted-by":"publisher","DOI":"10.1016\/j.hcl.2007.03.004"},{"key":"2025082711492856000_15.11.e250484.7","doi-asserted-by":"publisher","DOI":"10.1053\/ajem.2001.22656"},{"key":"2025082711492856000_15.11.e250484.8","article-title":"A novel method of treatment for a mal-united Galeazzi fracture with dislocation of the distal Radioulnar joint using Scarf osteotomy","volume":"13","author":"Khan","year":"2021","journal-title":"Cureus"},{"key":"2025082711492856000_15.11.e250484.9","article-title":"Galeazzi fracture dislocations: an illustrated review","volume":"12","author":"Alajmi","year":"2020","journal-title":"Cureus"},{"key":"2025082711492856000_15.11.e250484.10","first-page":"171","article-title":"Surgical management of Galeazzi fractures - A clinical study of 42 patients","volume":"5","author":"Riju","year":"2017","journal-title":"Int J Sci Study"},{"key":"2025082711492856000_15.11.e250484.11","doi-asserted-by":"crossref","first-page":"249","DOI":"10.1177\/1558944717744334","article-title":"Irreducible Galeazzi fracture-dislocations","volume":"14","author":"Yohe","year":"2019","journal-title":"Hand"},{"key":"2025082711492856000_15.11.e250484.12","unstructured":"Wolfe S , Pederson W , Kozin SH , et al . Green\u2019s Operative Hand Surgery. 7th ed. Elsevier, 2016."},{"key":"2025082711492856000_15.11.e250484.13","doi-asserted-by":"crossref","first-page":"47","DOI":"10.1016\/j.jhsa.2016.10.017","article-title":"Forearm instability: anatomy, biomechanics, and treatment options","volume":"42","author":"Adams","year":"2017","journal-title":"J Hand Surg Am"},{"key":"2025082711492856000_15.11.e250484.14","doi-asserted-by":"crossref","first-page":"572","DOI":"10.1016\/j.hansur.2021.04.012","article-title":"Galeazzi fracture-dislocations: long-term prognosis of the distal radioulnar joint","volume":"40","author":"Donndorff","year":"2021","journal-title":"Hand Surg Rehabil"},{"key":"2025082711492856000_15.11.e250484.15","doi-asserted-by":"crossref","first-page":"493","DOI":"10.4103\/0019-5413.101031","article-title":"Distal radioulnar joint injuries","volume":"46","author":"Thomas","year":"2012","journal-title":"Indian J Orthop"},{"key":"2025082711492856000_15.11.e250484.16","doi-asserted-by":"crossref","first-page":"1472","DOI":"10.1016\/j.injury.2016.04.003","article-title":"Galeazzi fractures: is DRUJ instability predicted by current guidelines?","volume":"47","author":"Tsismenakis","year":"2016","journal-title":"Injury"},{"key":"2025082711492856000_15.11.e250484.17","doi-asserted-by":"crossref","first-page":"138","DOI":"10.4055\/cios.2009.1.3.138","article-title":"Anatomic reconstruction of the distal radioulnar ligament for posttraumatic distal radioulnar joint instability","volume":"1","author":"Seo","year":"2009","journal-title":"Clin Orthop Surg"},{"key":"2025082711492856000_15.11.e250484.18","first-page":"367","article-title":"Galeazzi fracture nonunion treated with a free vascularized Corticoperiosteal graft","volume":"22","author":"Fujiwara","year":"2012","journal-title":"J Reconstr Microsurg"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2022-250484","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,27]],"date-time":"2025-08-27T18:49:34Z","timestamp":1756320574000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2022-250484"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,11]]},"references-count":18,"journal-issue":{"issue":"11","published-online":{"date-parts":[[2022,11,2]]},"published-print":{"date-parts":[[2022,11]]}},"alternative-id":["10.1136\/bcr-2022-250484"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2022-250484","relation":{},"ISSN":["1757-790X"],"issn-type":[{"type":"electronic","value":"1757-790X"}],"subject":[],"published":{"date-parts":[[2022,11]]}}}