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Radiology · MSK imaging: Galeazzi fracture-dislocation
Sample itemA radiograph shows a fracture of the distal third of the radial shaft with shortening. Which joint should be examined for injury?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
B. Distal radioulnar joint
Galeazzi fracture is a radial shaft fracture, usually distal third, with dislocation or subluxation of the distal radioulnar joint. It is often called the fracture of necessity because it requires surgery in adults.
Option by option
A. Elbow joint
The elbow is not the usual site.
B. Distal radioulnar joint (correct)
Correct. DRUJ disruption accompanies a Galeazzi fracture.
C. Proximal radioulnar joint
The proximal radioulnar joint is involved in Monteggia.
D. Acromioclavicular joint
The AC joint is unrelated.
Source note: Original NextPrep sample item — pending expert review. This item is original practice material awaiting independent expert review, so confirm important facts in a standard textbook.
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