![]() ![]() Hence the patient was planned for continuation of nonoperative treatment (Fig. The parents were advised for closed reduction and percutaneous pinning, but they wished to be managed conservatively. The patient was treated with closed reduction followed by above elbow Plaster of Paris (POP) slab under sedation. ![]() There was also an ipsilateral Gartland type 3 extension type of supracondylar humerus fracture (Figs. Roentgenograms showed a fracture of ulnar diaphysis at proximal and middle third junction with 20 0 of anterior angulation. It was not associated with other significant systemic injury. There was no distal neurovascular deficit in the extremity. There was no bruising and fractures were closed. Painful abnormal mobility and crepitus were present both at the elbow and the ulnar aspect of forearm. Forearm was in the attitude of pronation. ![]() Left elbow displayed gross swelling and deformity. He presented to the emergency department approximately 12 h after sustaining the injury with the complaints of swelling, severe pain and restricted motion of left elbow. We present a rare case which can be included under type I Monteggia equivalent on the basis of its characteristics, biomechanics and the mode of injury.Ī 6-year-old boy sustained a fall from a height of about 6 ft and landed on his outstretched left hand and sustained an injury to the left forearm and ipsilateral elbow. Since then various types and their equivalents have been described in the literature. He also classified certain injuries as equivalents to the ‘true Monteggia lesions’ based on their similar radiographic pattern and biomechanism of injury and ‘Monteggia equivalent’ term was used for these patterns. I applied a new bandage but the head of the radius would not stay in place… ”īado described ‘true Monteggia lesions’ and classified them into four types. At the end of a month of bandaging, the head of the radius dislocated when I extended the forearm. “…I unhappily remember the case of a girl who seemed to me to have sustained a fracture of the upper third of the ulna. Its first description dates back to 1814, when Giovanni Battista Monteggia first observed this entity. Since the first description, Monteggia fracture dislocations have been problem injuries in the terms of diagnosis, mechanism of injury, treatment and its outcome. ![]()
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