Neglected Type I Monteggia Fracture Dislocation in Adult

Abstract

A 30-year-old male presented to the outpatient clinic with pain and complete loss of movement at elbow since last three months. He gave history of fall three months back for which he took treatment from a quack. Clinically, there was bony deformity on the medial side of forearm. Patient held the elbow in 90 degree flexed and neutral position.Radial head was palpable anteriorly and no supination pronation was present. There was no flexion and extension at elbow. There was no neurovascular defect. On skiagrams [Table/ Fig-1], there was diaphyseal fracture of ulna with anterior angulation and radial head was dislocated anteriorly. Thus, it was labelled as Bado type I monteggia fracture dislocation.

An Atypical Type of Monteggia Equivalent: A Case Report

“…A shaft of ulna fracture accompanied with the anterior dislocation of radial head was first introduced by an Italian surgeon, Giovanni Battista Monteggia in 1814 [ 1 ]. This injury pattern was later termed Monteggia fracture-dislocation by Perrin in 1909 [ 2 ]. In 1967 Bado Classified Monteggia fracture-dislocation into four main groups [ 3 ].…”

Ultrasonographic evaluation of radial nerve injuries associated with pediatric chronic monteggia lesions

“…Monteggia lesions were first described by Giovanni Battista Monteggia in 1814; since that time, numerous reports have been published on its diagnosis and treatment. 1 Monteggia lesions occur in about 0.1% -1.7% of all pediatric fractures, 2 but the true incidence of these lesions is unknown because the diagnosis of these lesions may often be missed or delayed. An unreduced dislocation of the radiocapitellar joint that is still present 4 weeks after injury is defined as a chronic Monteggia lesion.…”