Successful Management of Atypical Bilateral Galeazzi Fractures with Unique Dorsal Displacement: A Case Report.

Introduction: This case report presents an exceptionally rare occurrence of bilateral Galeazzi fractures with dorsal displacement of both distal radius fragments and the distal ulna in a 39-year-old male following a high-impact motorcycle accident. This specific injury configuration, which has not been categorized within the Walsh system, was effectively managed through open reduction and internal fixation utilizing limited contact dynamic compression plates.

Case report: Fracture reduction was achieved using a bilateral Henry's approach, which resulted in spontaneous realignment of the distal radioulnar joints without requiring supplementary stabilization. Intraoperative stability was evaluated using the piano key test, and post-operative immobilization with above-elbow back slabs supported optimal recovery.

Conclusion: At the 1-year follow-up, the patient demonstrated full functional recovery, including complete forearm range of motion and excellent grip strength. This case emphasizes the importance of prompt surgical management, precise anatomical realignment, and individualized intraoperative assessment in treating complex and rare bilateral forearm fractures. It also highlights the potential for excellent recovery outcomes with early and accurate intervention.