A fracture at the medial end of the distal third of the radius with an
epiphyseal separation of the distal ulna in a 16-year-old boy is desc
ribed. This injury, known as the Galeazzi-equivalent lesion in childre
n, is characterized by complete distal ulnar epiphyseal separation wit
hout rupture of the distal ligamentous stabilizing system between the
radius and ulna, which includes the triangular fibrocartilage complex,
interosseous ligaments and periosteal tube of the ulnar. The Galeazzi
fracture-dislocation and the Galeazzi-equivalent lesion appear to be
completely dissimilar in their pathological anatomy. We suggest callin
g the latter a ''pseudo-Galeazzi injury''.