title: Type III Monteggia fracture with posterior interosseous nerve injury in a child: A case report.
abstract: BACKGROUND
  Elbow injury in children by improper treatment or a delay of more than 3 weeks could lead to old unreduced Monteggia fracture, which are difficult to manage. Conservative or normal surgical methods usually fail.
  
  
  METHODS
  Herein, we present a 6-year-old boy with sustaining injury approximately 1 month to his left elbow. Activity in his elbow was restricted, and his ability to extend his wrist and fingers was impaired.
  
  
  METHODS
  Type III Monteggia elbow fracture-dislocation consisting of radial head dislocation and malunion of the ulna associated with posterior interosseous nerve palsy were confirmed, which requiring surgical treatment.
  
  
  METHODS
  A closed reduction was performed with hyperplastic scar tissues erased and the radial head relocated.
  
  
  RESULTS
  Follow-up 4 months later showed satisfactory recovery of function.
  
  
  CONCLUSIONS
  Forearm fractures in children may be misjudged, and that early anatomical reduction rather than conservative treatment may be required.
authors.affiliation: Department of Orthopedics, The First Affiliated Hospital of Jinan University, Guangzhou, China.
authors.forename: Jing
authors.initials: J
authors.lastname: Wang
authors.forename: Min
authors.initials: M
authors.lastname: Chen
authors.forename: Jiang
authors.initials: J
authors.lastname: Du
mesh_terms: D002648:Child; D004551:Elbow Joint / Q000473:pathology* / Q000601:surgery*; D005542:Forearm / Q000294:innervation*; D006801:Humans; D008297:Male; D009011:Monteggia's Fracture / Q000473:pathology* / Q000601:surgery*