Galeazzi-equivalent fracture in children associated with tendon entrapment--report of two cases.

INTRODUCTION This is a report of 2 consecutive cases of the Galeazzi-equivalent fracture in children. CLINICAL PICTURE In both cases, the mechanism of injury was falls onto the outstretched hand. Radiographs showed fracture of the radius with separation of the distal ulnar physis. TREATMENT Initial treatment by closed manipulation failed; hence, open reduction and internal fixation was required. The cause of failure of closed manipulation in both cases was interposition of soft tissue into the ulnar fracture site. OUTCOME Both cases showed good functional outcome after open reduction and internal fixation. CONCLUSION Recognition of this form of injury is necessary to ensure proper treatment is undertaken to prevent the complications of inadequate reduction and growth retardation.