Type III Monteggia Injury With Ipsilateral Distal Forearm Fracture in a Child: A Case Report

Overview

Journal Front Pediatr

Specialty Pediatrics

Date 2022 Feb 17

PMID 35174117

Authors

Chao Gao

Jing Hua Sun

Hua Jiang Zheng

Yong Yao Wu

Jin Cao

Affiliations

Soon will be listed here.

Abstract

Monteggia fracture refers to breakage of the upper third of the ulna combined with dislocation of the radial head. It often occurs in children and adolescents and represents a combined injury. Fracture of the distal forearm is among the most common trauma suffered by children. However, distal forearm fractures have rarely been reported as having an association with Monteggia fractures. We report on a 9-year-old boy diagnosed with a type III Monteggia fracture combined with a distal forearm fracture. He underwent surgery and received rehabilitation training 1 month later. He was followed-up for 1 year. The affected limb functioned well with no sign of radial head dislocation.

References

John S, Wherry K, Swischuk L, Phillips W . Improving detection of pediatric elbow fractures by understanding their mechanics. Radiographics. 1996; 16(6):1443-60; quiz 1463-4. DOI: 10.1148/radiographics.16.6.8946546. View

Evans E . Pronation injuries of the forearm, with special reference to the anterior Monteggia fracture. J Bone Joint Surg Br. 1949; 31B(4):578-88, illust. View

Spinner M, Freundlich B, Teicher J . Posterior interosseous nerve palsy as a complication of Monteggia fractures in children. Clin Orthop Relat Res. 1968; 58:141-5. View

Inoue T, Kubota M, Marumo K . A Type III Monteggia Injury with Ipsilateral Fracture of the Distal Radius and Ulna in a Child: Case Report Followed for 21 Years. Case Rep Orthop. 2018; 2018:1876075. PMC: 6033296. DOI: 10.1155/2018/1876075. View

Maeda H, Yoshida K, Doi R, Omori O . Combined Monteggia and Galeazzi fractures in a child: a case report and review of the literature. J Orthop Trauma. 2003; 17(2):128-31. DOI: 10.1097/00005131-200302000-00010. View

Kamudin N, Firdouse M, Han C, M Yusof A . Variants of Monteggia Type Injury: Case Reports. Malays Orthop J. 2017; 9(1):23-27. PMC: 5349343. DOI: 10.5704/MOJ.1503.001. View

Singh D, Awasthi B, Padha V, Thakur S . A Very Rare Presentation of Type 1 Monteggia Equivalent Fracture with Ipsilateral Fracture of Distal Forearm-approach with Outcome: Case Report. J Orthop Case Rep. 2017; 6(4):57-61. PMC: 5288626. DOI: 10.13107/jocr.2250-0685.570. View

Rennie L, Court-Brown C, Mok J, Beattie T . The epidemiology of fractures in children. Injury. 2007; 38(8):913-22. DOI: 10.1016/j.injury.2007.01.036. View

Arazi M, Ogun T, Kapicioglu M . The Monteggia lesion and ipsilateral supracondylar humerus and distal radius fractures. J Orthop Trauma. 1999; 13(1):60-3. DOI: 10.1097/00005131-199901000-00015. View

10.

Peter N, Myint S . Type I Monteggia lesion and associated fracture of the distal radius and ulna metaphysis in a child. CJEM. 2007; 9(5):383-6. DOI: 10.1017/s1481803500015372. View

11.

Sood A, Khan O, Bagga T . Simultaneous monteggia type I fracture equivalent with ipsilateral fracture of the distal radius and ulna in a child: a case report. J Med Case Rep. 2008; 2:190. PMC: 2427046. DOI: 10.1186/1752-1947-2-190. View

12.

Biyani A . Ipsilateral Monteggia equivalent injury and distal radial and ulnar fracture in a child. J Orthop Trauma. 1994; 8(5):431-3. DOI: 10.1097/00005131-199410000-00011. View

13.

BADO J . The Monteggia lesion. Clin Orthop Relat Res. 1967; 50:71-86. View

14.

Mundada G, Khan S, Singhania S, Gupta V, Singh P, Khan S . Type-I monteggia with ipsilateral fracture of distal radius epiphyseal injury: A rare case report. Ann Afr Med. 2017; 16(1):30-32. PMC: 5452702. DOI: 10.4103/aam.aam_55_16. View

15.

CASTILLO ODENA I . Bipolar fracture-dislocation of the forearm. J Bone Joint Surg Am. 1952; 34 A(4):968-76. View

16.

Wiley J, Galey J . Monteggia injuries in children. J Bone Joint Surg Br. 1985; 67(5):728-31. DOI: 10.1302/0301-620X.67B5.4055870. View

17.

Williams H, Madhusudhan T, Sinha A . Type III monteggia injury with ipsilateral type II Salter Harris injury of the distal radius and ulna in a child: a case report. BMC Res Notes. 2014; 7:156. PMC: 3995403. DOI: 10.1186/1756-0500-7-156. View