Persistent distal radioulnar joint dislocation after surgical treatment of Galeazzi fracture-dislocation: A case report and review of the literature.

Galeazzi fracture-dislocation is a complex injury involving a distal radius fracture and distal radioulnar joint (DRUJ) dislocation, typically treated through surgical intervention. However, persistent DRUJ dislocation remains a common complication following surgery. This report presents two cases of persistent DRUJ dislocation after surgical treatment of Galeazzi fractures. Both patients underwent initial radial fixation with plate and screws but developed limitations in forearm supination and pain due to residual DRUJ dislocation. Radiographs confirmed the dislocation, and subsequent surgeries addressed the causes, including radial malalignment, soft tissue entrapment, and untreated ulnar styloid fractures. Following reoperation, both patients achieved full recovery with pain relief and restored forearm mobility. This case report emphasizes the importance of comprehensive intraoperative evaluation and early detection of DRUJ dislocation to prevent long-term dysfunction and complications.