摘要
有在近似或远侧的桡尺骨的关节(DRUJ ) 的脱臼任何一个的半径或尺骨的 ObjectiveFracture 不是普通损害并且内在地是不稳定的。这里，我们报导一个案例系列，与与 DRUJ 的脱臼联系的两个骨头前臂破裂，作为 Galeazzi 变体的类型破裂脱臼，并且试着分析学习基于 6 个病人有的这损害 pattern.MethodsThe 不同年龄(20 ～ 45 年) 的 Galeazzi 变体的类型破裂脱臼。所有破裂是关上的类型。二破裂包含了一样的水平，三破裂在半径和尺骨柄的不同层次。在彻底的检查和调查以后，他们与有限接触被对待没有为 DRUJ.ResultsAll 案例的另外的固定的动态压缩板被跟随在上面为 24 个星期。最大的发生发生在在 31 和 40 年之间的年龄组。半径和尺骨的所有破裂在 12 个星期的平均时间被统一。在最后的后续的手腕和肘，旋后和内转的运动的范围是正常的。没有在任何在成年人的 cases.ConclusionGaleazzi 变体的 DRUJ 的随后的 re-subluxation 或脱臼是有手腕损害的前臂的一个新 undescribed 模式。稳定的开的减小和两个骨头前臂破裂的内部固定是强制的，为破坏 DRUJ 愈合在一个演员组到 3 ～ 4 星期固定列在后面。
Objective：Fracture of either radius or ulna with a dislocation either at the proximal or distal radioulnar joint （DRUJ） is not a common injury and is inherently unstable.Here we report a case series,with both-bone forearm fractures associated with dislocation of DRUJ,as a Galeazzi-variant type fracture-dislocation,and try to analyze this injury pattern.Methods：The study was based on 6 patients having Galeazzi-variant type fracture-dislocation of different age （20 to 45 years）.All fractures were closed type.Two fractures involved the same level and three fractures were at different levels of radius and ulna shaft.After thorough examination and investigations they were treated with limited contact dynamic compression plate without additional fixation for DRUJ.Results：All cases were followed up for 24 weeks.The maximum incidence occurred in age group between 31 and 40 years.All the fractures of both radius and ulna were united in average time of 12 weeks.Range of motion of wrist and elbow,supination and pronation at final follow-up were normal.There was no subsequent re-subluxation or dislocation of the DRUJ in any of the cases.Conclusion：Galeazzi variant in adult is a new undescribed pattern of forearm with wrist injury.Stable open reduction and internal fixation of both-bone forearm fractures is mandatory,followed by 3 to 4 weeks of immobilization in a cast for the healing of disrupted DRUJ.
