Divergent elbow dislocation with radial shaft fracture, distal ulnar deformation, and distal radioulnar joint instability: an unclassifiable Monteggia variant

Laratta, Joseph; Yoon, Richard; Frank, Matthew; Koury, Kenneth; Donegan, Derek; Liporace, Frank
March 2014
Journal of Orthopaedics & Traumatology;Mar2014, Vol. 15 Issue 1, p63
Academic Journal
Originally described by Monteggia and later classified by Bado, elbow dislocations with concurrent radial and ulnar shaft fractures with distal radioulnar joint (DRUJ) disruption are considered operative cases with high-energy injurious etiologies. Here, we present an unclassifiable Monteggia variant fracture suffered through a high axial load mechanism in a 47-year-old female. The fracture pattern initially exhibited included a divergent elbow dislocation, a radial shaft fracture, plastic deformation of the distal ulna, and DRUJ instability. Here we describe the pattern in detail, along with definitive treatment and clinical outcome at 1 year follow-up.


Related Articles

  • CLINICAL AND RADIOLOGICAL OUTCOMES OF DISTAL RADIUS FRACTURES TREATED WITH ORIF WITH VOLAR FIXED-ANGLE PLATES. Bisaccia, Michele; Rinonapoli, Giuseppe; Falzarano, Gabriele; Medici, Antonio; Meccariello, Luigi; Rosati, Rita; Pellegrino, Marco; Vicente, Cristina Ibáñez; Piscitelli, Luigi; Caraffa, Auro // Euromediterranean Biomedical Journal;2016, Vol. 11, p9 

    Distal radius fractures are the most common fractures of the upper limbs and represent 17% of all fractures treated in emergency medicine. The purpose of the present study is to evaluate the correlation between the clinical and radiographic outcomes obtained with surgical osteosynthesis using...

  • Review: Evidence on surgical interventions for distal radial fractures is inconclusive. Kreder, Hans J. // ACP Journal Club;May/Jun2002, Vol. 136 Issue 3, p112 

    Comments on a study which examined surgical interventions for treating distal radial fractures in adults. Effectiveness of surgical treatment in adults with fractures of the distal radius; Methods to achieve and maintain reduction.

  • Surgical treatment of chronic Monteggia type I equivalent lesion in 11 year old: a rare case report. Haveri, Sameer; Jatti, Ravi; Putti, B. // European Journal of Orthopaedic Surgery & Traumatology;Nov2012 Supplement, Vol. 22, p75 

    Background: The treatment of an unrecognized Monteggia lesion continues to pose a therapeutic challenge, as evidenced by the variety of surgical techniques described. The purpose of this study is to report one such rare case and its surgical treatment. Case report: Eleven-year-old girl presented...

  • Predicted vitamin D status during pregnancy in relation to offspring forearm fractures in childhood: a study from the Danish National Birth Cohort. Petersen, Sesilje B.; Strøm, Marin; Maslova, Ekaterina; Granström, Charlotta; Vestergaard, Peter; Mølgaard, Christian; Olsen, Sjurdur F. // British Journal of Nutrition;12/14/2015, Vol. 114 Issue 11, p1900 

    In a prospective cohort study, the association between maternal vitamin D status during pregnancy and offspring forearm fractures during childhood and adolescence was analysed in 30 132 mother and child pairs recruited to the Danish National Birth Cohort between 1996 and 2002. Data on...

  • Poster 160 Sideline Ultrasound Diagnosis of Distal Radius Fracture in a High School Football Player: A Case Report. Reaves, Jared W.; Campos, Teodoro T.; Gonzalez, Peter G. // PM & R: Journal of Injury, Function & Rehabilitation;Sep2011 Supplement, Vol. 3 Issue 10S, pS224 

    No abstract available.

  • Run with the Wrapz pack. Csatari, Jeffrey // Men's Health;Oct96, Vol. 11 Issue 8, p30 

    Presents the Wrapz hot or cold elbow wrap for treating elbow pain. Waterproof features; Price; Contact information.

  • Tennis elbow, anyone?  // Men's Health;Jun97, Vol. 12 Issue 5, p48 

    Presents a test for an achy elbow recommended by Barry Kraushaar, an orthopedic sports medicine surgeon in Emerson, New Jersey. Procedures on conducting the test; Treatment for the case; Another test to see if there is severe tendon injury.

  • Health Waves. Seaton, Jessica; Nessel, Ed // Swim Magazine;Jan/Feb2003, Vol. 19 Issue 1, p13 

    Addresses a question about elbow pain from swimming.

  • Medial Elbow Pain in the Throwing Athlete.  // Orthopedics;Jan2003, Vol. 26 Issue 1, p1 

    Presents a quiz concerning medial elbow pain in the throwing athlete.


Read the Article


Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics