scholarly journals Median Nerve Palsy following Elastic Stable Intramedullary Nailing of a Monteggia Fracture: An Unusual Case and Review of the Literature

2011 ◽  
Vol 2011 ◽  
pp. 1-5 ◽  
Author(s):  
Surjit Lidder ◽  
Nima Heidari ◽  
Florian Amerstorfer ◽  
Stephan Grechenig ◽  
Annelie M. Weinberg
Keyword(s):  
Median Nerve ◽  
Intramedullary Nailing ◽  
Radial Head ◽  
Nerve Palsy ◽  
Unusual Case ◽  
Elastic Stable Intramedullary Nailing ◽  
Monteggia Fracture ◽  
Type I ◽  
Monteggia Lesion ◽  
Median Nerve Palsy

Monteggia fractures are rare in children, and subtle radial head dislocations, with minor plastic deformation of the ulna, may be missed in up to a third of cases. Complications of Monteggia fractures-dislocations include persistent radial head dislocation, forearm deformity, elbow stiffness, and nerve palsies at the time of presentation. An unusual case of median nerve palsy following elastic stable intramedullary nailing of a type I Monteggia lesion in a 6-year-old girl is presented, and we highlight that, although most nerve palsies associated with a Monteggia fracture-dislocations are treated expectantly in children, early intervention here probably provided the best outcome.

ENTRAPMENT OF THE MEDIAN NERVE BETWEEN SUBLIMIS TENDONS AFTER DISTAL FOREARM FRACTURE: AN UNUSUAL CASE REPORT

Hand Surgery ◽  
2008 ◽  
Vol 13 (02) ◽  
pp. 111-114
Author(s):  
Y. Taniguchi ◽  
T. Kitano ◽  
T. Shimoe ◽  
M. Yoshida
Keyword(s):  
Case Report ◽  
Median Nerve ◽  
Rare Case ◽  
Nerve Palsy ◽  
Unusual Case ◽  
Forearm Fracture ◽  
Distal Forearm ◽  
Distal Forearm Fracture ◽  
Median Nerve Palsy ◽  
Unusual Case Report

We present a rare case of entrapment of the median nerve between sublimis tendons after fractures of the distal radius and ulna in an 80-year-old woman. The entrapped median nerve was elongated redundantly with two regions of constriction. To our knowledge, no case of median nerve palsy caused by such a factor has been previously reported.

A Case of Missed Scaphoid Dislocation in Association with Monteggia Fracture Dislocation and Compartment Syndrome

Hand Surgery ◽  
1997 ◽  
Vol 02 (02) ◽  
pp. 167-170 ◽  
Author(s):  
Y. F. Leung ◽  
W. L. Kam ◽  
P. S. Ip ◽  
Y. L. Wai
Keyword(s):  
Compartment Syndrome ◽  
Median Nerve ◽  
Nerve Palsy ◽  
Case Reports ◽  
Open Reduction Internal Fixation ◽  
Fracture Dislocation ◽  
Carpal Bone ◽  
Monteggia Fracture ◽  
Median Nerve Palsy ◽  
Monteggia Fracture Dislocation

A case of volar and ulnar solitary dislocation of the scaphoid of the right hand associated with type 3 Monteggia fracture dislocation (Bado) of the same limb is reported. It was complicated by median nerve palsy which was masked by the compartment syndrome of the forearm. He was treated with open reduction, internal fixation and decompression of the median nerve. The functional result is good. Solitary dislocation of the scaphoid is a very rare carpal bone injury. Isolated case reports were published in the past. However, it was complicated with median nerve palsy and masked by the compartment syndrome of the forearm that had never been described.

Median Nerve Palsy

2020 ◽  
pp. 241-243
Author(s):  
K. Gupta ◽  
P. Carmichael ◽  
A. Zumla
Keyword(s):  
Median Nerve ◽  
Nerve Palsy ◽  
Median Nerve Palsy

scholarly journals Influence of Ulnar Bow Sign on Surgical Treatment of Missed Bado Type I Monteggia Fracture in Children

2020 ◽  
Author(s):  
Shijie Liao ◽  
Tiantian Wang ◽  
Qian Huang ◽  
Yun Liu ◽  
Rongbin Lu ◽  
...  
Keyword(s):  
Surgical Treatment ◽  
Radial Head ◽  
Monteggia Fracture ◽  
Type I ◽  
Ulnar Osteotomy ◽  
Group A ◽  
The Mean ◽  
Group B ◽  
Stable Reduction

Abstract PurposeThe present study aimed to explore the influence of ulnar bow on the surgical treatment of Bado type I missed Monteggia fracture in children.MethodsThis study is a retrospective review of 24 patients between November 2010 and March 2019. All patients were treated with open reduction of the radial head and ulnar opening wedge osteotomy without annular ligament reconstruction. The mean interval between injury onset and surgery was five months (range: 2–12 months). The average age of participants at the time of surgery was 6.4 years (range: 3–10 years). We evaluated the maximum ulnar bow (MUB) and MUB position (P-MUB) via radiography. The patients were divided into middle group (group A: 14 cases, MUB located at 40% to 60% of the distal ulna) and distal group (group B: 10 cases, MUB located at 20% to 40% from the distal end of the ulna) based on P-MUB. The mean period of follow-up was 37 months (range: 6–102 months).ResultsAt the last follow-up, all the children showed stable reduction of the radial head, and the flexion function of elbow joint improved after operation (P<0.05). Group A presented a larger the ratio of maximum ulnar bow(R-MUB) and angle of ulnar osteotomy(OA) than group B (P<0.05). There was statistically significant difference between group A and Group B in the P-MUB (P < 0.05). The osteotomy angle was positively correlated with the R-MUB (R2 =0.497,P=0.013), The osteotomy angle was positively correlated with the P-MUB (R2=0.731,P=0.000), The R-MUB is proportional to the P-MUB (R2 =0.597,P=0.002). The regression equation of P-MUB and osteotomy angle: Angle=7.064+33.227* P-MUB (R2=0.459, P =0.000).ConclusionWhen the ulnar bow is positioned at the middle ulna, a stable reduction of radial head need to be achieved through a larger angle in the ulnar osteotomy. If the position of maximum ulnar bow (P-MUB) is closer to the middle of the ulna or the ratio of maximum ulnar bow (R-MUB) is larger, the osteotomy angle is larger.

Fractures combination of the proximal antebrachium in an immature dog that resembles Monteggia fracture

2006 ◽  
Vol 19 (03) ◽  
pp. 184-186 ◽  
Author(s):  
N. N. Prassinos
Keyword(s):  
Growth Plate ◽  
Radial Head ◽  
Monteggia Fracture ◽  
Type I ◽  
Distal Fragment ◽  
Diaphyseal Fracture ◽  
German Shepherd ◽  
Physeal Fracture ◽  
German Shepherd Dog ◽  
Ulnar Fracture

SummaryA 5-month-old German shepherd dog with a combination of a proximal radial physeal fracture and a proximal ulnar diaphyseal comminuted fracture, with cranial displacement of their distal fragment, was presented. This fractures combination resembles type I Monteggia fracture. After surgical reduction of the fractures, three full-cerclage wires were used to stabilize the ulnar fracture, and two positional screws were placed across the radius and ulna immediately distally to the growth plate to hold these bones in apposition. Four weeks post-operatively, the screws were removed since sufficient callus had been formed and the dog was free of lameness. It seems that if the appropriate conditions for a type I Monteggia fracture develop in an immature dog, proximal radial physeal fracture instead of radial head luxation may accompany ulnar diaphyseal fracture.

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