The MonteggiaFracture: Literature Review and Report of a New Variant

Overview

Journal J Orthop Case Rep

Specialty Orthopedics

Date 2019 Jan 29

PMID 30687670

Citations 8

Authors

Amr Elkhouly

J Fairhurst

A Aarvold

Affiliations

Soon will be listed here.

Abstract

Introduction: Giovanni Battista Monteggia first described the Monteggia fracture in 1814. The complexity of this injury was not fully appreciated until it was coined in English as a "Monteggia lesion" by Jose Luis Bado. The Bado classification divides Monteggia fractures into four types of true lesions, plus equivalent variants.

Case Report: This report describes a rare variant where the proximal radial disruption occurs through a Salter-HarrisType II fracture rather than a radial epiphysis dislocation. This is an unstable fracture configuration that has been successfully surgically treated by keeping to the principles of Monteggia fracture reduction.

Conclusion: Even though this is not a classical dislocation of the radial head, this variant with a Salter-Harris fracture should be considered as one.

Citing Articles

Type III Monteggia Fracture-dislocation with Radial Nerve Injury in Adults - A Case Report of two Cases.

Sandeep P, Jagadeesh B, Sathiyaseelan N, Natarajan S J Orthop Case Rep. 2023; 13(5):1-4.

PMID: 37255637 PMC: 10226638. DOI: 10.13107/jocr.2023.v13.i05.3622.

Monteggia variant with posterior elbow dislocation and radial shaft fracture: A case report.

Robles E, Rolfs H, Hargett D Int J Surg Case Rep. 2022; 99:107705.

PMID: 36183592 PMC: 9568873. DOI: 10.1016/j.ijscr.2022.107705.

Comparison of the midterm result between locking plate and elastic intramedullary nail treating oblique ulnar fracture Bado type I acute monteggia fracture in pediatric patients.

Vithran D, Song Z, Wang K, Tang Z, Xiang F, Wen J BMC Musculoskelet Disord. 2022; 23(1):858.

PMID: 36096778 PMC: 9465865. DOI: 10.1186/s12891-022-05809-5.

Monteggia Variant with Salter-Harris Fracture of the Radial Head: Case Report and Litergature Review.

Sahemey R, Nikolaides A J Orthop Case Rep. 2022; 11(10):87-90.

PMID: 35415088 PMC: 8930308. DOI: 10.13107/jocr.2021.v11.i10.2484.

An Atypical Type of Monteggia Equivalent: A Case Report.

Jain D, Singh S, Binyala S, Kumar P J Orthop Case Rep. 2022; 11(10):96-99.

PMID: 35415084 PMC: 8930309. DOI: 10.13107/jocr.2021.v11.i10.2488.

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