scholarly journals Monteggia Fracture-Dislocation with Associated TFCC Injury and DRUJ Subluxation – A Very Rare Case Report

2021 ◽  
Vol 11 (9) ◽  
Author(s):  
Ramprasad Jasti ◽  
Sunil Magadam ◽  
Sijeel Shukla ◽  
Senthilvelan Rajagopalan ◽  
Ashok Selvaraj ◽  
...  
Keyword(s):  
Road Traffic ◽  
Fracture Dislocation ◽  
Wrist Arthroscopy ◽  
Monteggia Fracture ◽  
Type I ◽  
Injury Biomechanics ◽  
Proximal Ulna ◽  
Persistent Symptoms ◽  
Level I ◽  
Monteggia Fracture Dislocation

Introduction:Monteggia fracture-dislocation is defined as a proximal third ulna fracture with radiocapitellar joint dislocation. The term “Monteggia equivalent or variant” describes various injuries with similar radiographic patterns and injury biomechanics. Several isolated cases of unusual injuries associated with Monteggia fractures have been reported. However, an associated TFCC injury has not been described in the literature before. We present a rare report of a 24-year-old female with a Monteggia fracture and associated TFCC injury – a crisscross type of injury. Case Report:A 24-year-old female was involved in a road traffic accident and presented to our level I trauma center with pain and deformity in the left forearm. On evaluation, she was found to have type I Monteggia fracture-dislocation. Intraoperatively, once the proximal ulna was fixed, she had clicking in the wrist during rotations. Fluoroscopic images showed DRUJ subluxation, but it was stable in supination. Hence was splinted in a reduced position. The patient continued to have persistent symptoms in the wrist despite adequate conservative measures. Hence, she underwent arthroscopic TFCC repair and DRUJ pinning. At her last follow-up (3 months), the patient was clinically better with a good range of motion and no pain. Conclusion:In treating Monteggia fracture-dislocations, high index of suspicion is needed to diagnose radioulnar joint instability. If they are missed, they can result in long-term disability, so appropriate evaluation to diagnose TFCC and DRUJ injuries is required. DRUJ stabilization and TFCC repair can produce consistent results when treated adequately. Keywords:TFCC, monteggia, wrist, arthroscopy, proximal ulna.

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

Delayed treatment of a neonatal type-I Monteggia fracture-dislocation

2018 ◽  
Vol 27 (2) ◽  
pp. 142-146 ◽  
Author(s):  
William R. Smith ◽  
Scott H. Kozin ◽  
Dan A. Zlotolow
Keyword(s):  
Fracture Dislocation ◽  
Monteggia Fracture ◽  
Type I ◽  
Delayed Treatment ◽  
Monteggia Fracture Dislocation

scholarly journals A study to assess epidemiological, clinical profile and outcome of Monteggia fracture dislocation in adults: a retrospective study

2017 ◽  
Vol 3 (3) ◽  
pp. 472
Author(s):  
G. Ramachandra Reddy ◽  
P. N. Prasad
Keyword(s):  
Retrospective Study ◽  
Road Traffic ◽  
Early Recognition ◽  
Proper Time ◽  
Clinical Profile ◽  
Fracture Dislocation ◽  
Monteggia Fracture ◽  
Forearm Fractures ◽  
Anatomical Reduction ◽  
Monteggia Fracture Dislocation

<p class="abstract"><strong>Background:</strong> Among all the forearm fractures Monteggia fractures account for approximately 1-2%. Early recognition with anatomical reduction and stable internal fixation is most important in the management of Monteggia fractures. This study was performed to evaluate clinical profile and functional outcome of Monteggia fracture dislocation<span lang="EN-IN">.</span></p><p class="abstract"><strong>Methods:</strong> This retrospective study was done on 381 forearm fractures, out of which 31 were Monteggia fracture dislocation. All adults patients who were &gt;20 years were included in the study.<strong></strong></p><p class="abstract"><strong>Results:</strong> During the study period, of 381 cases 31 (8.1%) were having Monteggia fracture dislocation. Most of the study participants were males in (61.2%) compared to females (39%). The cause of the fracture in most of the cases was road traffic accidents accounted by 45%. In most of the cases, the outcome of the operation was excellent (61.3%)<span lang="EN-IN">. </span></p><p class="abstract"><strong>Conclusions:</strong> If the injury is properly classified and if stable anatomical reduction is achieved at the proper time then the results will always be excellent. In present study all the patients achieved excellent results after surgery<span lang="EN-IN">.</span></p>

scholarly journals Type I Monteggia fracture-dislocation in a monk from a 17th–18th century necropolis of Valladolid (Spain)

2011 ◽  
Vol 119 (1) ◽  
pp. 39-47
Author(s):  
BELÉN LÓPEZ ◽  
LUIS CARO ◽  
ANTONIO F. PARDIÑAS
Keyword(s):  
18Th Century ◽  
Fracture Dislocation ◽  
Monteggia Fracture ◽  
Type I ◽  
Monteggia Fracture Dislocation

scholarly journals A New Pediatric Monteggia Fracture Type 4 Variant

2021 ◽  
Vol 11 (10) ◽  
Author(s):  
Ehab S Saleh
Keyword(s):  
Open Reduction ◽  
Fracture Dislocation ◽  
Monteggia Fracture ◽  
Radial Head Dislocation ◽  
Proximal Ulna ◽  
Joint Dislocation ◽  
Ulna Fracture ◽  
Joint Dislocations ◽  
Fracture Dislocations ◽  
Monteggia Fracture Dislocation

Introduction: Monteggia fracture-dislocations are rare and complex injuries that usually involve a fracture of the proximal ulna associated with a proximal radioulnar and radiocapitellar joint dislocations. These injuries comprise <1% of all pediatric forearm fractures. We report on a pediatric Monteggia fracture-dislocation variant that included an irreducible divergent ulnohumeral joint dislocation, an irreducible anterior radial head dislocation, and a proximal and distal radius and ulna fracture. Case Report: A 6-year-old female came to our emergency room with a right elbow and forearm pain and deformity after a fall from a slide on the same day. X-rays revealed a divergent ulnohumeral joint dislocation, an anterior radiocapitellar joint dislocation, a proximal radioulnar joint dislocation, and a proximal and distal ulna and radius fracture. Closed reduction under sedation in the emergency room was not successful, with persistent ulnohumeral, ulnoradial, and radiocapitellar joint dislocations. The patient was taken to the operating room the next morning. She underwent open reduction and internal fixation of the proximal ulna fracture with a one-third tubular locking plate, and radial head dislocation open reduction. A stable reduction of the ulnohumeral joint was only possible after the fixation of the proximal ulna fracture. The most stable position for the radiocapitellar joint after its open reduction was at 70o of elbow extension and full forearm supination; the patient was casted in that position for 6 weeks. Conclusion: Pediatric Monteggia fracture-dislocations are rare and complex childhood fractures, and new variants of this injury can have even more complex presentations. Open reduction and stable internal fixation addressing all components of this injury will lead to an excellent outcome. Keywords: Pediatric monteggia fracture-dislocation, new type four variant, divergent ulnohumeral joint dislocation, irreducible dislocation.

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

A case report on old unreduced Monteggia fracture dislocation in 5 year old child

2015 ◽  
Vol 6 (1) ◽  
pp. 79
Author(s):  
N. Kumar ◽  
S. Singh ◽  
S. Singh ◽  
G.C. Verma
Keyword(s):  
Case Report ◽  
Fracture Dislocation ◽  
Monteggia Fracture ◽  
Monteggia Fracture Dislocation
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