title: Complex elbow dislocation associated with radial and ulnar diaphyseal fractures: a rare combination.
abstract: We illustrate a rare complex dislocation of the elbow involving a posterior ulno-humeral dislocation associated with open diaphyseal fracture of the ulna, radial shaft fracture, Type 1 coronoid fracture and neuropraxia of the deep branch of the radial nerve. The isolated ulno-humeral dislocation without radio-capitellar involvement, and ulnar diaphyseal fracture, makes this "reverse Monteggia" type of injury pattern very unique. This patient was managed with an initial reduction of his ulno-humeral joint and stabilization of his radius and ulna fractures. He underwent a delayed medial collateral ligament reconstruction a few days later. His fractures went on to unite fully, his elbow joint remained stable, and he achieved good range of motion of his elbow.
authors.affiliation: Department of Orthopaedic Surgery, Tan Tock Seng Hospital, 11, Jalan Tan Tock Seng, Singapore, 308433, Singapore, sramesh77@hotmail.com.
authors.forename: Subramaniam
authors.initials: S
authors.lastname: Ramesh
authors.forename: Yi-Jia
authors.initials: YJ
authors.lastname: Lim