Anterior dislocation of the radial head with fractures of the olecranon and radial neck in a young child: a Monteggia equivalent fracture-dislocation variant.
We present a case of a type I Monteggia equivalent lesion in a 7-year-old child consisting of anterior dislocation of the radial head, radial neck fracture, and a fracture of the olecranon without an associated fracture of the ulnar diaphysis or metaphysis. After a review of the literature, we report this fracture pattern as a rare type I Monteggia equivalent fracture-dislocation variant. This report describes delayed surgical treatment and outcome after close follow-up of a rare type I Monteggia equivalent lesion. Diagnostic challenges with and treatment options for pediatric Monteggia equivalent fracture-dislocations are discussed.
Department of Orthopaedic Surgery, New York University Hospital for Joint Diseases Orthopaedic Institute, New York, NY 10003, USA.
David E
DE
Ruchelsman
Jeffrey A
JA
Klugman
Sanjeev S
SS
Madan
Gail S
GS
Chorney
D002648:Child; D005593:Fracture Fixation, Internal; D006801:Humans; D008297:Male; D009011:Monteggia's Fracture / Q000150:complications* / Q000000981:diagnostic imaging / Q000601:surgery*; D011859:Radiography; D011885:Radius Fractures / Q000150:complications* / Q000000981:diagnostic imaging / Q000601:surgery*