Monteggia equivalent fracture associated with Salter I fracture of the radial head

Reina, Nicolas; Laffosse, Jean-Michel; Abbo, Olivier; Accadbled, Franck; Bensafi, H.; Chiron, Philippe

doi:10.1097/bpb.0b013e32834d4e06

Cited by 13 publications

(11 citation statements)

References 17 publications

(14 reference statements)

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“…(Table 1-2) All of the presented cases involved the injury of both radius and ulna, especially the region around the radiocapitellar joint, reflecting a rationale expressed by Bado that morphological change of ulna incurs proximal radial and/or radiocapitellar joint injury [2]. Sur [11], Reina [13], Sirois [18] and Heinrich [19], reported type-3 equivalent mechanism of posterior bowing or angulation of ulna, leading to radial shaft posterior translocation and proximal radius/ radiaocapitellar joint lesion. And some rest others [7-10, 12, 14, 15] reported type-1 equivalent cases of anterior bowing or angulation of ulna, resulting in radial shaft anterior translocation and similarly proximal radius/ radiaocapitellar joint lesion, as listed in Table 1.…”

Section: Discussionmentioning

confidence: 80%

“…Three Monteggia equivalent lesions were described in this classification and typically for those sporadic cases which resemble the Monteggia mechanism, but could not categorize into the common types. However, the established equivalent lesions in Up to date, through literature in Scientific Citation Index, we found a few authors had referred to the terms of "equivalent lesion/injury/fracture-dislocation" [5][6][7][8][9][10][11][12][13][14][15][16][17][18][19], some of which met the criteria of Bado or Olney.…”

Section: Discussionmentioning

confidence: 99%

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Radial neck fracture or Monteggia equivalent lesion: delayed radial head subluxation in an adolescent and review of literature

2020

BMC Musculoskelet Disord

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Background Monteggia equivalent lesion represents a series of combined elbow and forearm injuries that resemble typical Monteggia fracture either in presentation or mechanism. The term has gradually evolved since its introduction, as sporadic case reports continued to complement it. The aim of this study was to present a furthermore type of that lesion which no previous study had reported and arouse pediatric orthopedists’ additional awareness of it. Case presentation A 11-year-old girl, whose injury pattern initially appeared to be a mild radial neck fracture with undisplaced proximal ulnar fracture, and without radial head dislocation, was treated with closed reduction and long-arm splint immobilization. Acceptable results were acquired at first-week follow-up, yet dramatic changes turned up 2 weeks later when the dislocated radial head was found. A further reduction to the fracture and joint site only resulted in a subluxated and incongruous radiocapitellar joint on the three-dimensional computed tomography (3D-CT). Then a definitive operation was performed, which involved a Boyd incision, correction of radial head tilting, opening wedge osteotomy of the proximal ulna and proper fixation respectively. And acceptable results were achieved 1 year later. Conclusions This case, with occult proximal ulna fracture, angulated radial neck fracture, subsequent radiocapitellar dislocation, and articular incongruity, was deemed as a rare Monteggia type-one equivalent fracture-dislocation variant rather than an ordinary radial neck fracture and it facilitates further understanding and management of the Monteggia fracture.

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Section: Discussionmentioning

confidence: 80%

Section: Discussionmentioning

confidence: 99%

Radial neck fracture or Monteggia equivalent lesion: delayed radial head subluxation in an adolescent and review of literature

2020

BMC Musculoskelet Disord

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“…An accurate diagnosis entailing the exact extent of the injury is essential for optimal management. A complete ROM at the elbow joint and stability can only be achieved with meticulous operative therapy aiming at anatomical reduction of the joint [ 9 , 11 ].…”

Section: Discussionmentioning

confidence: 99%

A Novel Variant of Type II Monteggia Equivalent Fracture-Dislocation in Children: A Case Report

Karashi¹,

Basheer²,

Alsobyani³

et al. 2021

Cureus

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Monteggia fracture-dislocations are extremely rare in children. By definition, it is an ulnar shaft fracture with proximal radioulnar joint dislocation. Throughout the years, various equivalents of this entity have been described. In this report, we present a unique case of a type II Monteggia fracture equivalent with an ipsilateral fracture of the proximal radius and olecranon in a child. The patient was a 12-year-old male who presented with a history of a fall on an outstretched hand. The diagnosis was made based on the clinical examination and plain radiographs. We describe the management of this unique fracture and discuss the possible mechanism of injury. We have highlighted a rare combination of injuries. It is crucial to investigate the condition properly in order to avoid missing the diagnosis and to prevent poor outcomes and further unnecessary revision surgeries.

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“…Thus, Drosos et al [ 11 ] illustrated a variant associated with Salter-Harris (SH) type I injury of the radial head in a 6-year-old girl with an ossified radial head, and plain radiographs allowed both assessment and control of reduction. Reina et al [ 14 ] described another variant accompanied by a diaphyseal ulnar fracture and a proximal physeal injury with a posteriorly displaced proximal radius in a 13-year-old adolescent. They pointed out that a good diagnosis was necessary, and surgeons should be aware of initial radiographs and should look for associated lesions such as SH type I injury of the radial head.…”

Section: Discussionmentioning

confidence: 99%

Monteggia type-I equivalent fracture in a fourteen-month-old child: A case report

Li¹,

Zhou²,

Li³

et al. 2021

WJCC

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BACKGROUND Monteggia and equivalent lesions are relatively rare but result in severe injuries in childhood, typically affecting children between 4 and 10 years old. The diagnosis and treatment of an equivalent Monteggia lesion is more complicated than those of a typical Monteggia fracture. This type of lesion may be challenging and may lead to serious complications if not treated properly. Pediatric Monteggia equivalent type I lesions have been reported in a few reports, all of which the patients were all over 4 years old. CASE SUMMARY A 14-mo-old boy was referred to our clinic after falling from his bed 10 d prior. With regard to the clinical examination, an obvious swollen and angular deformity was noted on his right forearm. Plain radiographs and reconstructed computed tomography scans showed a Monteggia type I fracture and dislocation. Magnetic resonance imaging (MRI) confirmed a type I Monteggia equivalent lesion consisting of ulnar fracture and Salter-Harris type I injury in the proximal radius. The radial head was still in the joint, and only the radial metaphysis was displaced anteriorly. Open reduction and pinning of both displaced radial and ulnar fractures achieved an excellent result with full function. CONCLUSION We recommend MRI examination or arthrography during reduction, especially if the secondary ossification center has not appeared.

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Monteggia equivalent fracture associated with Salter I fracture of the radial head

Cited by 13 publications

References 17 publications

Radial neck fracture or Monteggia equivalent lesion: delayed radial head subluxation in an adolescent and review of literature

Radial neck fracture or Monteggia equivalent lesion: delayed radial head subluxation in an adolescent and review of literature

A Novel Variant of Type II Monteggia Equivalent Fracture-Dislocation in Children: A Case Report

Monteggia type-I equivalent fracture in a fourteen-month-old child: A case report

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