scholarly journals Uncommon Variant of Type II Monteggia Fracture with Concomitant Distal Humeral Fracture

2015 ◽  
Vol 2015 ◽  
pp. 1-3
Author(s):  
Jihad F. Matta ◽  
George S. El Rassi ◽  
Hicham G. Abd El Nour ◽  
Rachel El Asmar
Keyword(s):  
Pediatric Population ◽  
Humeral Fracture ◽  
Fracture Pattern ◽  
Fracture Dislocation ◽  
Monteggia Fracture ◽  
Type Ii ◽  
Rare Entity ◽  
Distal Humeral Fracture ◽  
Complex Fracture ◽  
Monteggia Fracture Dislocation

Monteggia fracture-dislocation, a common injury sustained by pediatric population, is a rare entity in adults. It was first observed by Giovanni Battista Monteggia and later classified by Bado into 4 groups. The term “Monteggia equivalent or variant” was introduced to describe certain injuries with similar radiographic pattern and biomechanism of injury. Since then various types and their variants have been described in the literature. We present a complex fracture pattern in a 55-year-old male not previously described in the literature along with its treatment modality and favorable outcome.

Nerve Grafting for Chronic PIN Palsy Due to Radiocapitellar Joint Entrapment 2 Years Following Closed Reduction of a Pediatric Monteggia Fracture-Dislocation: A Case Report With 1-Year Follow-up

Hand ◽  
2021 ◽  
pp. 155894472098807
Author(s):  
Andrea E. Copeland ◽  
Jessica Gormley ◽  
Brian Chin ◽  
Pavlo Isak ◽  
James R. Bain
Keyword(s):  
Closed Reduction ◽  
Pediatric Population ◽  
Fracture Dislocation ◽  
Monteggia Fracture ◽  
Nerve Grafting ◽  
Nerve Reconstruction ◽  
Significant Treatment ◽  
First Case ◽  
Monteggia Fracture Dislocation

This article describes the first case of successful nerve grafting for posterior interosseous nerve (PIN) palsy secondary to radiocapitellar joint entrapment 2 years following closed reduction (CR) of a pediatric Monteggia fracture-dislocation (MFD). Patient notes were examined. The literature was reviewed to determine whether similar cases or techniques had been reported. A 5-year-old girl presented with a PIN palsy 2 years following CR of an MFD, demonstrating Medical Research Council (MRC) grade 4 wrist and MRC grade 2 finger and thumb extension. Nerve exploration at 27 months revealed a PIN crushed in the radiocapitellar joint with a proximal neuroma-in-continuity and no response to electrical stimulation. Neurolysis and lateral antebrachial cutaneous nerve cable grafting were performed. The decision to pursue nerve grafting was based on the intraoperative appearance of an atrophic PIN with no response to stimulation, but with minimal muscle atrophy, short distance to target muscles, and pediatric patient with extended reinnervation timeline. Full recovery (MRC grade 5 wrist extension and MRC grade 4+ finger and thumb extension) was achieved at 1-year follow-up. We present the first case of successful nerve grafting for PIN palsy secondary to radiocapitellar joint entrapment 2 years following CR of a type III MFD. Even with significant treatment delay, nerve reconstruction should be considered in the pediatric population.

scholarly journals The management of chronic paediatric Monteggia fracture-dislocation

2021 ◽  
Vol 24 ◽  
pp. 65-76
Author(s):  
Tom Gryson ◽  
Alexander Van Tongel ◽  
Frank Plasschaert
Keyword(s):  
Fracture Dislocation ◽  
Monteggia Fracture ◽  
Monteggia Fracture Dislocation

Monteggia Fracture Dislocation in a Neonate Resulting From Birth Trauma

2006 ◽  
Vol 20 (2) ◽  
pp. 150-152 ◽  
Author(s):  
P N Gupta ◽  
Rishi Kaushal ◽  
Ravi Gupta ◽  
Sudhir Garg ◽  
Raj Bahadur MS(ortho)
Keyword(s):  
Birth Trauma ◽  
Fracture Dislocation ◽  
Monteggia Fracture ◽  
Monteggia Fracture Dislocation
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