title: An Undescribed Monteggia Type 3 Equivalent Lesion: Lateral Dislocation of Radial Head with Both-Bone Forearm Fracture.
abstract: Monteggia fractures are accepted as hard-to-recognize and easy-to-handle fractures. Adequate radiographic investigations and clinical examinations are necessities. This case holds unique features involving diagnosis and treatment. In this case, the radial head was dislocated laterally while both bones were fractured in the proximal diaphysis, being the first to be mentioned in the literature. Closed reduction of the ulna is the preferred method of handling and almost always results in reduction of the radial head. Literature obligates ulnar reduction as a preliminary to reduce and stabilize the radial head. Closed reduction reduced the ulna but the radial head was not reduced. Hence an intramedullary K-wire was used to reduce the radial head and a long arm cast was used to stabilize the reduction. The operation was successful and follow-up showed no complications.
authors.affiliation: Department of Orthopaedics and Traumatology, Istanbul Medipol University School of Medicine, Bagcilar, 34214 Istanbul, Turkey.
authors.forename: Adnan
authors.initials: A
authors.lastname: Kara
authors.affiliation: Department of Orthopaedics and Traumatology, Istanbul University Cerrahpasa Faculty of Medicine, Fatih, 34098 Istanbul, Turkey.
authors.forename: Mahmut Enes
authors.initials: ME
authors.lastname: Kayaalp
authors.affiliation: Department of Orthopaedics and Traumatology, Istanbul Medipol University School of Medicine, Bagcilar, 34214 Istanbul, Turkey.
authors.forename: Mehmet
authors.initials: M
authors.lastname: İşyar
authors.affiliation: Department of Orthopaedics and Traumatology, Istanbul Medipol University School of Medicine, Bagcilar, 34214 Istanbul, Turkey.
authors.forename: Cem
authors.initials: C
authors.lastname: Sever
authors.affiliation: Department of Orthopaedics and Traumatology, Istanbul Medipol University School of Medicine, Bagcilar, 34214 Istanbul, Turkey.
authors.forename: Melih
authors.initials: M
authors.lastname: Malkoç
authors.affiliation: Department of Orthopaedics and Traumatology, Istanbul Medipol University School of Medicine, Bagcilar, 34214 Istanbul, Turkey.
authors.forename: Mahir
authors.initials: M
authors.lastname: Mahiroğulları