Surgical treatment of chronic Monteggia type I equivalent lesion in 11 year old: a rare case report

Haveri, Sameer; Jatti, Ravi; Putti, B.
November 2012
European Journal of Orthopaedic Surgery & Traumatology;Nov2012 Supplement, Vol. 22, p75
Academic Journal
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 to us with left elbow injury 6 weeks after fall. On examination, she had deformity and total restriction of elbow movements. X-ray showed upper third ulnar fracture with separation of radial head epiphysis suggesting Monteggia fracture type 1 equivalent. Ulnar osteotomy with plating and reduction of radial head separation with transcapitellar wire fixation was done. Above elbow cast given for 6 weeks. Results: At 1 year follow-up, patient had regained good range of motion of elbow and forearm with maintenance of radial head reduction. Conclusion: This study stresses on the need of surgical treatment in treating chronic Monteggia fractures. In best hands, it gives excellent results.


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