An Atypical Type-II Monteggia Fracture Equivalent Lesion

Ribeiro, Tiango Aguiar; Pinho, Fabiano Zappe; Bellenzier, Liliane; Guerra, Vinicius André; Nascimento, Douglas Zaione

doi:10.2106/jbjs.cc.l.00263

Cited by 2 publications

(2 citation statements)

References 20 publications

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“…In terms of treatment, nonoperative method has been reported with successful outcome 2 , 3 . Operative intervention is chosen if closed manipulative reduction failed or in unstable fracture dislocations 5 . Various reports have indicated that plastic deformity or incomplete Monteggia fracture-dislocation tend to be stable, thus treatment in plaster cast is sufficient to maintain acceptable anatomical position, achieving good results 2 …”

Section: Discussionmentioning

confidence: 99%

Variants of Monteggia Type Injury: Case Reports

Kamudin

Firdouse

Yusof

et al. 2015

MOJ

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BackgroundMonteggia fracture-dislocation is rare in children. Various reports attest to its rarity, while recording the many variant of this injury. It is, therefore, easy to miss the diagnosis in the absence of proper clinical examination and radiographs.Case ReportThis report highlights two rare variants of Monteggia fracture-dislocation seen in children. The first case was a 12-year old girl alleged to have fallen from a 15- feet tall tree and sustaining a combined type III Monteggia injury with ipsilateral Type II Salter-Harris injury of distal end radius with a metaphyseal fracture of the distal third of the ulna. The second case was a 13-year old who had sustained a closed fracture of atypical Type I Monteggia hybrid lesion, in a road traffic accident.ConclusionThis report highlights the rare variants of Monteggia fracture dislocation which could have been missed without proper clinical examinations and radiographs.

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Section: Discussionmentioning

confidence: 99%

Variants of Monteggia Type Injury: Case Reports

Kamudin

Firdouse

Yusof

et al. 2015

MOJ

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“…Atypical Monteggia type ll lesions are most common [45] compared to other atypical forms. Other atypical forms of Monteggia type ll fracture-dislocation in children have also been described [46]. In medical practice over time, for more than 50 years, equivalent lesions have not been clearly understood and there is no clear definition of what an equivalent Monteggia lesion would be [47].…”

Section: Atypical Form Of Monteggia Type Ll Fracture With Two Atypica...mentioning

confidence: 99%

CORHD Lesions: A New Pediatric Terrible Triad of the Elbow. A Case Report and Literature Review

2022

Ann Case Report

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Background context:The osteoarticular pathology of the elbow includes a number of complex lesions, the best known being the Monteggia fracture-dislocation, the anterior Trans olecranon fracture-dislocation and the terrible triad of the elbow. The diagnosis and treatment of these injuries require the medical practitioner to have solid knowledge to establish an early diagnosis and optimal treatment in order to fully recover the elbow function. When faced with a novel case involving complex lesions that cannot be included in the known pathology, the orthopaedist needs to use conceptual reasoning to make a detailed analysis of the historical data and previously-described associated lesions, and then compare them with those under study.Purpose: To present a novel case and identify its place within the complex elbow injuries. The current case report can help orthopaedic and trauma surgeons to identify this rare and complex lesion.Study Design/Setting: Each lesion was identified and interpreted. Analysis in the context of scientific data was performed after each investigation and for each lesion or lesion group described in the literature. The evaluation confirmed or denied each condition.Patient Sample: A 12-year-old male patient presented to the Emergency Unit with a traumatic elbow and was immediately hospitalized. He was clinically examined and explored by radiology and imaging. Three lesions difficult to include in the known pathology were identified.Outcome Measures: Each diagnostic stage was evaluated based on both the accumulated knowledge and literature review. The final diagnosis was established step by step, after which the patient underwent surgery. Methods:The presence of an elbow showing obvious clinical signs of a major impact and an apparently harmless radiological aspect known as TRASH (The Radiographic Appearance Seemed Harmless) suggested possible osteochondral lesions. Special attention was paid to radiological and imaging details. The data revealed by these investigations were compared with those in the literature and it has emerged that a new terrible triad is in question.

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An Atypical Type-II Monteggia Fracture Equivalent Lesion

Cited by 2 publications

References 20 publications

Variants of Monteggia Type Injury: Case Reports

Variants of Monteggia Type Injury: Case Reports

CORHD Lesions: A New Pediatric Terrible Triad of the Elbow. A Case Report and Literature Review

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