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• DRUJ instability in Galeazzi fracture
• Incidence 55% when radial fracture is <7.5 cm from articular surface
• Controversy over necessity of DRUJ stabilization surgery in addition to open reduction and internal fixation of fracture
• Bilateral Galeazzi fracture
• Few case reports, even fewer cases with the same type of fracture for both arms and bilateral DRUJ instability.
• Aim of study
• Comparison of outcome in one patient with both Galeazzi fracture treated with bilateral ORIF and unilateral arthroscopic TFCC repair

• A 23-year-old male patient visited ER with both forearm pain after falling on both hands while riding a kick scooter.•Past medical history: moderate depressive episode without medication••Initial X-ray
• Galeazzi fracture with DRUJ instability and dorsal dislocation of distal ulna, same for both wrists-Motor/sensory was intact for both hands
• Operation (TOD#1)
• Open reduction and internal fixation with plate and screws were done for both radius 
• Right : DRUJ rather stable after radius fixation
• Left : Ulnar dislocation persists after radius fixation 
  => Arthroscopic transosseous TFCC repair for only left wrist 
• Post-operative care
• Right: Short arm splint for 2 weeks, short arm brace for following 2 weeks (for hand use, since patient is right-handed)
• Left: short arm cast for 6 weeks-2 weeks stich off

• On outpatient follow-up 5 months after surgery-Stable X-ray / Full ROM for both wrists/hands
• Ballotment test : Right (-) / Left (-)
• “No pain or functional loss. Only sense of thightness for left wrist.”
• On outpatient follow-up 1 year after surgery-Stable X-ray, full ROM
• “Doing well, sense of tightness for left wrist has resolved.“

Our case suggests that if DRUJ stability is acquired after radial fracture fixation in Galeazzi fractures, DRUJ stabilization surgeries may not be necessary for all patients with pre-operative instability.