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.

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 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 Dentin-Derived-Barrier Membrane in Guided Bone Regeneration: A Case Report

Materials ◽  
2021 ◽  
Vol 14 (9) ◽  
pp. 2166
Author(s):  
Jeong-Kui Ku ◽  
In-Woong Um ◽  
Mi-Kyoung Jun ◽  
Il-hyung Kim
Keyword(s):  
Case Report ◽  
Bone Regeneration ◽  
Guided Bone Regeneration ◽  
Successful Outcome ◽  
Collagen Membrane ◽  
Type I ◽  
Barrier Membrane ◽  
Dentin Matrix ◽  
Demineralized Dentin Matrix ◽  
Demineralized Dentin

An autogenous, demineralized, dentin matrix is a well-known osteo-inductive bone substitute that is mostly composed of type I collagen and is widely used in implant dentistry. This single case report describes a successful outcome in guided bone regeneration and dental implantation with a novel human-derived collagen membrane. The authors fabricated a dentin-derived-barrier membrane from a block-type autogenous demineralized dentin matrix to overcome the mechanical instability of the collagen membrane. The dentin-derived-barrier acted as an osteo-inductive collagen membrane with mechanical and clot stabilities, and it replaced the osteo-genetic function of the periosteum. Further research involving large numbers of patients should be conducted to evaluate bone forming capacity in comparison with other collagen membranes.

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.

INTRA-ARTICULAR RADIAL HEAD FRACTURE IN A CHILD WITH AN OPEN PHYSIS: A CASE REPORT

Hand Surgery ◽  
2007 ◽  
Vol 12 (03) ◽  
pp. 159-163
Author(s):  
Koji Moriya ◽  
Yutaka Maki ◽  
Hisao Kouda
Keyword(s):  
Case Report ◽  
Radial Head ◽  
Radial Head Fracture ◽  
Articular Surface ◽  
Type Iii ◽  
Type Iv ◽  
Open Physis ◽  
Salter Harris

Fractures of the proximal end of the radius in children are uncommon. A case of fracture through the articular surface of the radial head (Salter–Harris type IV) in a 12-year-old boy is presented. Our paper recommends bone peg fixation in the treatment of Salter–Harris (S–H) type III or IV injuries in nearly skeletally mature.

scholarly journals Management of Isolated Post Traumatic Radial Head Dislocation in a Child: A Case Report

2018 ◽  
pp. 1-5
Author(s):  
S. Benzarti ◽  
M. A. Triki ◽  
H. Kaziz ◽  
T. Mouelhi ◽  
M. L. Ben Ayeche ◽  
...  
Keyword(s):  
Case Report ◽  
Radial Head ◽  
Anterior Dislocation ◽  
Monteggia Fracture ◽  
Rare Injury ◽  
Early Management ◽  
Plain Radiographs ◽  
Left Elbow ◽  
Traumatic Dislocation ◽  
Post Traumatic

Post-traumatic dislocation of the radial head is a rare injury, generally described in the case of the Monteggia fracture associating a fracture of the ulnar diaphysis and a dislocation of the radial head. We report an exceptional case of an isolated post-traumatic dislocation in a 6-year-old child, who presented to our emergency department following a fall from a bike with a reception on the outstretched left arm. Clinical examination showed a swollen left elbow painful to palpation with a limited and painful range of motion of the elbow especially pronation-supination. Plain radiographs of the left elbow and forearm showed an isolated anterior dislocation of the radial head. Reduction was carefully performed followed by an above-the-elbow cast for 4 weeks with good functional and radiological outcome. Through this case report we insist on a systematic careful interpretation of plain radiographs of the elbow in children. With these precautions, diagnosis is not overlooked and an early management is initiated when the closed reduction is still possible.  

scholarly journals Adult Bado type I Monteggia fracture dislocation: A case report

2021 ◽  
Vol 36 ◽  
pp. 100541
Author(s):  
Ashley Cohen ◽  
Camille Talwar ◽  
Jason Magnani ◽  
John Wahhab
Keyword(s):  
Case Report ◽  
Fracture Dislocation ◽  
Monteggia Fracture ◽  
Type I ◽  
Monteggia Fracture Dislocation
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