# Rare pediatric Galeazzi lesion with progressive wrist deformity

## TL;DR

A rare childhood wrist injury called Galeazzi lesion can cause long-term deformity and limited function if not diagnosed early, but corrective surgery using 3D imaging can restore function even when treatment is delayed.

## Contribution

Demonstrates successful use of 3D imaging and corrective osteotomy to treat a delayed pediatric Galeazzi lesion with progressive deformity.

## Key findings

- Undiagnosed Galeazzi injuries in childhood can lead to severe forearm rotation deficits and progressive deformity.
- Multiplanar corrective osteotomy guided by 3D CT imaging significantly improved wrist function in a delayed case.
- Advanced imaging enables accurate correction of complex deformities even in long-standing injuries.

## Abstract

Galeazzi injuries are rare in early childhood and may be missed at initial presentation. Undiagnosed instability of the distal radioulnar joint can lead to progressive deformity and functional impairment. We report a rare case of Galeazzi injury in early childhood that led to progressive wrist malalignment during growth. Over the years this resulted in a severe restriction of forearm rotation. Using computed tomography–based three-dimensional analysis, a multiplanar corrective osteotomy was planned with reference to the contralateral healthy side. The procedure reduced the initial supination deficit of 120° to 20° and restored excellent wrist function. Missed Galeazzi injuries in early childhood can result in progressive deformity and significant long-term functional limitations. Advanced three-dimensional imaging enables accurate analysis of complex deformities and facilitates corrective osteotomy. Even in delayed presentations, satisfactory functional recovery can be achieved with appropriate surgical planning.

Algorithm for the assessment of the distal radioulnar joint (DRUJ) in severe distal forearm fractures. CRIF = closed reduction and internal fixation.