Type III Monteggia Equivalent Fracture with Ipsilateral Distal Radial Epiphyseal and Ulnar Metaphyseal Fracture in a Child: Case Report.
10.4055/jkoa.2004.39.5.563
- Author:
Kwang Soon SONG
1
;
Ki Cheol BAE
Author Information
1. Department of Orthopedic Surgery, Keimyung University, Daegu, Korea. skspos@dsmc.or.kr
- Publication Type:Case Report
- Keywords:
Monteggia equivalent fracture;
Forearm;
Bipolar fracture;
Plate fixation
- MeSH:
Bone Wires;
Child*;
Congenital Abnormalities;
Elbow;
Forearm;
Humans;
Joints;
Male;
Ulna;
Wrist
- From:The Journal of the Korean Orthopaedic Association
2004;39(5):563-565
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
This paper present a rare case of a Type III Monteggia equivalent fracture with an ipsilateral distal radial epiphyseal (Salter-Harris type II) and an ulnar metaphyseal fracture in a child. An 8-year-old boy sustained a closed bipolar fracture of his forearm after a fall from a height. The closed reduction was unsuccessful. Therefore, an open reduction and plate fixation was performed for a diaphyseal fracture of the ulna, and the unstable radial fractures and the distal ulnar metaphyseal fracture were treated with a closed reduction and internal fixation using Kirschner wires (K-wires). Two years after surgery, the joint motion including the forearm, wrist and elbow were completely normal. Radiologically, the bone was well united without any residual deformity.