Incidence, Characteristics, and Management of Concomitant Ipsilateral Upper-Extremity Fractures in Pediatric Monteggia Fracture-Dislocations: A 13-Year Single-Institution Case Series.

Journal and index pages often block iframe embedding. This reader keeps the evidence details in Orthonotes and leaves the source page one click away.

Abstract

[Indexed for MEDLINE] Conflict of interest statement: Disclosure: No external funding was received for this work. The Disclosure of Potential Conflicts of Interest forms are provided with the online version of the article ( http://links.lww.com/JBJS/I930 ). 4. J Orthop Case Rep. 2018 Jul-Aug;8(4):78-81. doi: 10.13107/jocr.2250-0685.1170. The MonteggiaFracture: literature review and report of a new variant. ElKhouly A(1), Fairhurst J(1), Aarvold A(1). Author information: (1)Department of Orthopaedics, Southampton Children's Hospital, United Kingdom. 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. DOI: 10.13107/jocr.2250-0685.1170 PMCID: PMC6343569