Variants of Monteggia Type Injury: Case Reports
- Author:
Kamudin NAF
;
M Firdouse
;
Han CS
;
M Yusof A
- Publication Type:Case Reports
- Keywords:
Monteggia fracture-dislocation;
hybrid lesion clinical examination and radiograph, surgery
- MeSH:
Monteggia's Fracture
- From:Malaysian Orthopaedic Journal
2015;9(1):23-27
- CountryMalaysia
- Language:English
-
Abstract:
Background: Monteggia 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 Report : This 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.
Conclusion: This report highlights the rare variants of
Monteggia fracture dislocation which could have been
missed without proper clinical examinations and
radiographs.
