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.


Related Articles

  • Simple fracture clue. P.G.O'C. // Cortlandt Forum;04/25/97, Vol. 10 Issue 4, p133 

    Presents a tip in determining bone fractures from the transudate of a joint.

  • Interpreting Elbow Radiographs in Children. Fick, Daniel S.; Lyons, Thomas A. // American Family Physician;3/1/1997, Vol. 55 Issue 4, p1278 

    Focuses on the accurate diagnosis of elbow fractures in children, which requires a knowledge of anatomic development. Difficulties involved in diagnosing elbow fractures; Types of radiographs commonly used; Most common cause of pediatric elbow injury; Most common type of elbow fracture in...

  • Cervical spine radiographs in the trauma patient. GRABER, MARK A.; KATHOL, MARY // American Family Physician;1/15/1999, Vol. 59 Issue 2, p331 

    Presents information on several techniques on the use of cervical spine radiographs in trauma patients. Clinical manifestations of cervical spine fractures; Criteria on using cervical spine radiographs; Common cervical abnormalities.

  • Comparative assessment of fracture risk among osteoporosis and osteopenia patients: a cross-sectional study. Tomasevic-Todorovic, Snezana; Vazic, Atina; Issaka, Abukari; Hanna, Fahad // Open Access Rheumatology: Research & Reviews;May2018, Vol. 10, p61 

    Background: Both osteoporosis and osteopenia remain worldwide public health concerns. They both lead to bone fractures, which can lead to disability and burden on those who are afflicted.Objectives: To assess and compare fracture risk between these two groups of patients.Patients and methods:...

  • Fractured fibula can mimic irritable hip. Kinnaird, T.P.; Beach, R.C. // Archives of Disease in Childhood;Feb2003, Vol. 88 Issue 2, p167 

    Presents three cases where the use of clinical algorithms missed the diagnosis of fractured fibula in children. Differential diagnosis of atraumatic limp in childhood; Radiography.

  • Infectious Complications of Open Type III Tibial Fractures among Combat Casualties. Johnson, Erica N.; Burns, Travis C.; Hayda, Roman A.; Hospenthal, Duane R.; Murray, Clinton K. // Clinical Infectious Diseases;8/15/2007, Vol. 45 Issue 4, p409 

    Background. Combat is associated with high-energy explosive injuries, often resulting in open tibial fractures complicated by nonunion and infection. We characterize the infections seen in conjunction with combat-associated type III tibial fractures. Methods. We performed a retrospective medical...

  • Classifications In Brief: Salter-Harris Classification of Pediatric Physeal Fractures. Cepela, Daniel; Tartaglione, Jason; Dooley, Timothy; Patel, Prerana; Cepela, Daniel J; Tartaglione, Jason P; Dooley, Timothy P; Patel, Prerana N // Clinical Orthopaedics & Related Research;Nov2016, Vol. 474 Issue 11, p2531 

    The article presents a study related to salter-harris classification of pediatric physeal fractures. It mentions diagnostic and treatment challenges for orthopaedic surgeons in patients with fractures involving the epiphyseal plate. It states Salter-Harris Type IV fractures crosses the physis,...

  • Poster 220 Fluoroscopic Diagnosis of an Intertrochanteric Fracture During X‐Ray Guided Joint Injection: A Case Report. Mehnert, Michael; Conliffe, Theodore D.; Sinha, Anupam // PM & R: Journal of Injury, Function & Rehabilitation;Oct2012 Supplement 10S, Vol. 4, pS264 

    No abstract available.

  • Does childhood and adolescence fracture influence bone mineral content in young adulthood? Kawalilak, Chantal E.; Baxter-Jones, Adam D.G.; Faulkner, Robert A.; Bailey, Donald A.; Kontulainen, Saija A. // Applied Physiology, Nutrition & Metabolism;Jun2010, Vol. 35 Issue 3, p235 

    Previous fracture may predispose an individual to bone fragility because of impaired bone mineral accrual. The primary objective of the study was to investigate the influence of fractures sustained during childhood and (or) adolescence on total body (TB), lumbar spine (LS), femoral neck (FN),...


Read the Article


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

Try another library?
Sign out of this library

Other Topics