scholarly journals The mechanism of injury of a hybrid Bado type I/III Monteggia lesion: Analysis of a live recording from a gymnastics injury

2019 ◽  
Vol 26 (2) ◽  
pp. 118-125
Author(s):  
Bobby Kin-Wah Ng ◽  
Kaye E Wilkins ◽  
Wai-Wang Chau
Keyword(s):  
Conventional Method ◽  
Satisfactory Result ◽  
Slow Motion ◽  
Injury Mechanism ◽  
Monteggia Fracture ◽  
Type I ◽  
Mechanism Of Injury ◽  
Monteggia Lesion ◽  
Whole Process ◽  
Lesion Analysis

The injury mechanism of a case of hybrid Bado type I/III Monteggia fracture had been recorded live by the parent of a gymnast in a competition. This live recording was generously offered by the parent to the treating surgeon to study the injury mechanism. The video captured was segmented by slow motion frames to study the whole process of the injury mechanism. The injury mechanism was analyzed by the authors jointly to verify the interpretation of the loading mechanism and the resultant injury. The patient had been treated with conventional method with satisfactory result.

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.

scholarly journals Type I Monteggia lesion and associated fracture of the distal radius and ulna metaphysis in a child

CJEM ◽  
2007 ◽  
Vol 9 (05) ◽  
pp. 383-386 ◽  
Author(s):  
Noel Peter ◽  
Sein Myint
Keyword(s):  
Distal Radius ◽  
Clinical Examination ◽  
Rare Case ◽  
Type I ◽  
Mechanism Of Injury ◽  
Childhood Injuries ◽  
Monteggia Lesion

ABSTRACTWe report a rare case of a type I Monteggia lesion with an associated fracture of the distal radius and ulna metaphysis in a child. We discuss the mechanism of injury and the importance of thorough clinical examination in childhood injuries.

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.

scholarly journals Magnetic Resonance Imaging of Pectoralis Major Injuries in an Active Duty Military Cohort: Mechanism Affects Tear Location

2020 ◽  
Vol 8 (6) ◽  
pp. 232596712092501
Author(s):  
John Synovec ◽  
K. Aaron Shaw ◽  
Joshua Hattaway ◽  
Aimee M. Wilson ◽  
Mickey Chabak ◽  
...  
Keyword(s):  
Magnetic Resonance ◽  
High Energy ◽  
Active Duty ◽  
Pectoralis Major ◽  
Injury Mechanism ◽  
Mechanism Of Injury ◽  
Operative Repair ◽  
Active Duty Military ◽  
Tear Pattern ◽  
Tendon Tears

Background: Pectoralis major (PM) tendon tears are common injuries in athletic patient populations, where operative repair is largely recommended for maximum functional recovery. The repair varies in difficulty and technique based on the location of the tear within the muscle-tendon unit. Magnetic resonance imagining (MRI) has been reported to be sensitive and specific for identifying the tear location, but the effect of injury mechanism on tear pattern has not been previously investigated. Purpose: To examine PM tears in a military patient population and assess the effect of injury mechanism (weightlifting vs high-energy trauma) on the tear pattern and accuracy of MRI interpretation. Study Design: Cohort study; Level of evidence, 3. Methods: Active duty military servicemembers undergoing operative repair of PM tendon tears with corresponding preoperative MRIs from 2 medical centers were identified. Two musculoskeletal fellowship–trained radiologists reviewed imaging studies, reporting the location of the tear within the muscle-tendon unit and the severity of the tear (sternal head vs clavicular head vs both). Radiographic findings were compared against intraoperative findings. Mechanism of injury and timing from injury to imaging and surgery were assessed to determine whether they affected the accuracy of MRI interpretations. Results: A total of 72 patients were included (mean ± SD age, 33.7 ± 7.0 years; 100% male). Mechanisms of injury consisted of 46 weightlifting injuries and 26 high-energy injuries. Interrater reliability was poor for tear location (kappa, 0.162; P = .003) but substantial for extent of tear (kappa, 0.637; P < .0001). MRI had a 51.3% sensitivity and 63.6% specificity for identifying complete tears. MRI had a sensitivity of 73.9% and specificity of 72.2% for avulsion injuries and sensitivity of 75% and specificity of 79.3% for musculotendinous injuries. Mechanism of injury had no effect on extent of the tear but did affect the location of the tear, with a higher rate of avulsion injuries in the high-energy mechanism cohort (81% vs 40%; P = .02). Conclusion: The mechanism of injury was found to significantly affect the location of tendon tears. A higher rate of avulsion injuries was found in high-energy injuries than weightlifting injuries. MRI appeared to be less sensitive and specific than previous reports for traumatic PM tendon injuries.

PHALANGEAL NECK FRACTURES IN CHILDREN: CLASSIFICATION AND OUTCOME IN 66 CASES

2001 ◽  
Vol 26 (2) ◽  
pp. 112-121 ◽  
Author(s):  
M. M. AL-QATTAN
Keyword(s):  
Young Children ◽  
Type I ◽  
Type Ii ◽  
Mechanism Of Injury ◽  
Bone Contact ◽  
Initial Management ◽  
Fractures In Children ◽  
Wire Fixation ◽  
Fixation Type ◽  
Almost All

A series of 66 children with 67 phalangeal neck fractures in the hand is presented. Young children (1–3 years of age) made up 44% of the series. The mechanism of injury was entrapment of the digit in a closing door or a swing in almost all cases. Type I fractures (n=13) were undisplaced and treatment with a splint resulted in excellent results in almost all cases. Type II fractures were defined as displaced fractures with some bone-to-bone contact. There were 47 Type II fractures and the outcome was significantly affected by the method of initial management. Fractures treated without K-wire fixation had a significantly worse outcome than those who underwent K-wire fixation. Type III fractures (n=7) were displaced with no bone-to-bone contact. If inadequately treated, these fractures did not unite.

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

2021 ◽  
Vol 11 (10) ◽  
Author(s):  
Rajpreet Sahemey ◽  
Anastasios P Nikolaides
Keyword(s):  
Case Report ◽  
Growth Plate ◽  
Radial Head ◽  
Closed Reduction ◽  
Successful Outcome ◽  
Monteggia Fracture ◽  
Type I ◽  
New Variant ◽  
Intramedullary Pinning ◽  
Salter Harris

Introduction:The Monteggia fracture is a fracture to the proximal third of ulna associated with a radial head dislocation. Although this is well described and classified in adults, it is uncommon in children. Identifying growth plate trauma and subsequent surgical management are of critical importance. This report identifies a unique variant of Monteggia fracture with a Salter-Harris Type I injury of the radial head instead of a dislocation, and how it was successfully stabilised with a closed reduction. Case Rport: We present a case of a nine 9 year-old female admitted to our unit with a deformed upper extremity following a fall from height. This was a closed and isolated injury without neurovascular compromise. Radiographs revealed a displaced fracture to the proximal ulna shaft. Unlike a true Monteggia, the radial fracture went through the proximal physis with anterior divergence of the distal fragment. The radiocapitellar joint remained congruent. The ulna fracture was stabilized with open reduction and plate osteosynthesis whilst the radial injury underwent closed reduction and intramedullary pinning with excellent outcomes and maintenance of full range of motion. Conclusion: This case highlights a new variant and successful outcome following a closed reduction intramedullary fixation technique in this emergent pattern of injury. We highlight the need for a classification of these fractures in children. Keywords: Case report, Monteggia, growth plate, pediatric, fracture, trauma, variant.

scholarly journals Aspect Regarding Plastic Deformations in Tibial Plateau Fractures

2018 ◽  
Vol 55 (4) ◽  
pp. 571-574
Author(s):  
Marcel Mihai Berceanu Vaduva ◽  
Horatiu Petrescu ◽  
Rami Musallam ◽  
Abdoul Fattah Boustani ◽  
Milan Velimirovici ◽  
...  
Keyword(s):  
High Performance ◽  
Tibial Plateau ◽  
Late Complications ◽  
Tibial Plateau Fractures ◽  
Bone Lesions ◽  
Type I ◽  
Mechanism Of Injury ◽  
Road Accidents ◽  
Schatzker Type ◽  
Therapeutic Measures

Our purpose was to study tibial plateau fractures considering the rise of their incidence, their potential immediate seriousness or late complications and their complexity. We realized a clinical-statistical study concerning the incidence of tibial plateau fractures taking in account critaeria like age, sex, mechanism of injury, fracture type and correlations between these. The study involves 126 patients, 98 (77.77%) being treated surgically and 28 (22.22%) conservatory between 2008-2016 in the I-st Clinic of Orthopaedics and Traumatology Timisoara. Approximately 2/3 of cases are of Schatzker type I, II and III. Type VI Schatzker occured in 5.78% of all, the mechanism of injury being split almost equal between road accidents and falls from height. Road accidents prevale as a causing circumstance of tibial plateau fractures. 2/3 of the tibial plateau fractures associate with other significant regional lesions. Bone lesions are not rarely underestimated by plain radiographs. Therefore evacuation of haemarthrosis (showing lipohaemarthrosis) and high performance imaging (CT, MRI) are often needed. In comparison to other fracture sites, imperfect reduction of tibial plateau fractures results more frequently in long term sequellae. Being frequently complex, comminuted fractures with associated regional lesions tibial plateau fractures raise the complexity of the medical act from establishing a complete diagnosis to the final therapeutic measures. For a correct and complete preoperatory diagnosis frequently high performance imaging is needed. Tibial plateau fractures significantly affect patients, the healthcare and social-economic system, the healing and rehabilitation.

Sign in / Sign up

Export Citation Format

Share Document