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Well-molded short arm cast
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Immediate open reduction and internal fixation of the fracture with fixation of the radioulnar joint
Long arm cast in pronation
Long arm cast in supination
Long arm cast in extension
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A Galeazzi fracture is a fracture of the radial shaft with disruption of the distal radioulnar joint (DRUJ). Most of these injuries in children are amenable to treatment in a long arm cast in supination. Above-the-elbow immobilization provides rotational control, and stability at the DRUJ is enhanced in supination.
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