A Galeazzi fracture involves a break in the forearm bone (radius) along with an injury to the joint where the forearm bones meet the wrist. If your child develops new pain on the pinky side of the wrist, tell your surgeon — this can be a sign that the small cartilage cushion in the wrist (the TFCC) needs a closer look.
This page explains how a pediatric galeazzi fracture is commonly managed, in plain language, based on Dr. Kee's typical approach to this injury.
Every fracture is different. Treatment varies based on the exact fracture pattern, displacement, age, whether surgery is needed, bone quality, other injuries, and how an individual heals. This page is general education, not your child's personal treatment plan — always follow the specific instructions given to you by Dr. Kee's office.
A Galeazzi fracture involves a break in the forearm bone (radius) along with an injury to the joint where the forearm bones meet the wrist. If your child develops new pain on the pinky side of the wrist, tell your surgeon — this can be a sign that the small cartilage cushion in the wrist (the TFCC) needs a closer look.
Always reassess the distal radioulnar joint—the radius fracture is only half of the injury.
This fracture is generally treated without surgery. Instead, it is protected in a cast, splint, or brace so the bone can heal in a good position on its own.
A long-arm cast (LAC), applied with the forearm turned palm-up (supination), for about 4 weeks.
No weight bearing (limb use) through the arm for about 6 weeks.
For a full explanation of what these weight-bearing terms mean, see our Weight-Bearing Guide.
No resistance or strengthening (NRM) for about 6 weeks.
Formal therapy is uncommon in younger children; use if forearm rotation remains limited after immobilization.
Weekly alignment X-rays for the first 2 weeks to confirm the bone is healing in good position, then a 6-week X-ray to confirm healing and clear the weight-bearing restriction.
Every fracture moves through the same general phases, though the exact timing is different for every patient:
School: School with restrictions; no lifting, climbing, or contact activity until union and DRUJ stability.
Sports or High-Risk Activity: Usually 8–12 weeks after painless forearm rotation and radiographic healing.
Loss of reduction, DRUJ instability, increasing pain, neurovascular symptoms, or compartment concern.
See our full When to Call page for the difference between routine office contact and emergency evaluation.
A long-arm cast (LAC), applied with the forearm turned palm-up (supination), for about 4 weeks.
Your surgeon will guide when it's safe to return to these activities based on how your specific fracture is healing. Follow the instructions given specifically to you.
Every fracture heals differently. If you have questions about your treatment plan, reach out to Dr. Kee's office.