Monteggia's fracture-dislocation is a common fracture pattern seen in children. In this case report, an unusual injury pattern, consisting of a dislocation of the radial head with ipsilateral fractures of the distal radius and ulna, is described. This fracture-dislocation may represent a variation of Monteggia's lesion.
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Int J Surg Case Rep
January 2025
Orthopedic Department, La Rabta Hospital, Tunis 1007, Tunisia.
Introduction And Importance: Ipsilateral proximal and distal radius fractures without elbow dislocation are extremely rare injuries and a few cases have been reported. Currently, there is no well-established consensus regarding their optimal management.
Case Presentation: We report the case of a 57-year-old woman who had a right bipolar radius fracture after falling from a standing height.
J Orthop Case Rep
October 2024
Department of Orthopaedics, North Bengal Medical College and Hospital, Darjeeling, West Bengal, India.
Introduction: In 1814, Giovanni Battista Monteggia first described the fracture pattern which was further characterized by Luis Bado in 1967. Bado also coined the term Monteggia equivalent which includes a spectrum of complex fracture patterns and dislocations of the proximal ulna and radius. Monteggia equivalent lesions in adults are rare with different injury mechanisms compared to children, and thus having different management procedures.
View Article and Find Full Text PDFJ Shoulder Elbow Surg
February 2025
Department of Orthopedic Surgery, Southern California Permanente Medical Group, South Bay, CA, USA.
Background: Radial head arthroplasty (RHA) is performed with increasing frequency for reconstruction of comminuted radial head fractures. Implants can be categorized by stem design, either loose fit or press fit. Currently, the RHA literature does not suggest one implant type is superior to another based on revision and reoperation rates, although most RHA outcome studies have small numbers of patients with few events to detect a difference.
View Article and Find Full Text PDFJ Orthop Case Rep
April 2024
Department of Orthopedic Surgery, Clinical Research Development Unit of Shohada-e Tajrish Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Introduction: The terrible triad of the elbow includes an elbow dislocation or subluxation with coronoid and in combination with radial head fractures. Still, none of them are accompanied by rupture of the triceps tendon.
Case Report: The article describes a terrible triad injury in a young patient with an additional triceps rupture.
Ulus Travma Acil Cerrahi Derg
February 2024
Orthopedics and Traumatology Clinic, Memorial Bahçelievler Hospital, İstanbul, Türkiye.
Background: Although isolated distal radius and radial head fractures are common injuries, simultaneous ipsilateral fractures are uncommon. They can range from simple undisplaced fractures at either end to severely comminuted ipsilateral proximal and distal radial fractures. Few cases have been reported with concomitant comminuted distal radius and radial head fractures, and no treatment guidelines are available.
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