Sameer Haveri1, Ravi Jatti2, B B Putti2. 1. Department of Orthopaedics, JN Medical College/KLE's Dr Prabhakar Kore's Hospital and MRC, Belgaum, Karnataka, India. drsameerhaveri@gmail.com. 2. Department of Orthopaedics, JN Medical College/KLE's Dr Prabhakar Kore's Hospital and MRC, Belgaum, Karnataka, India.
Abstract
BACKGROUND: The treatment of an unrecognized Monteggia lesion continues to pose a therapeutic challenge, as evidenced by the variety of surgical techniques described. The purpose of this study is to report one such rare case and its surgical treatment. CASE REPORT: Eleven-year-old girl presented to us with left elbow injury 6 weeks after fall. On examination, she had deformity and total restriction of elbow movements. X-ray showed upper third ulnar fracture with separation of radial head epiphysis suggesting Monteggia fracture type 1 equivalent. Ulnar osteotomy with plating and reduction of radial head separation with transcapitellar wire fixation was done. Above elbow cast given for 6 weeks. RESULTS: At 1 year follow-up, patient had regained good range of motion of elbow and forearm with maintenance of radial head reduction. CONCLUSION: This study stresses on the need of surgical treatment in treating chronic Monteggia fractures. In best hands, it gives excellent results.
BACKGROUND: The treatment of an unrecognized Monteggia lesion continues to pose a therapeutic challenge, as evidenced by the variety of surgical techniques described. The purpose of this study is to report one such rare case and its surgical treatment. CASE REPORT: Eleven-year-old girl presented to us with left elbow injury 6 weeks after fall. On examination, she had deformity and total restriction of elbow movements. X-ray showed upper third ulnar fracture with separation of radial head epiphysis suggesting Monteggia fracture type 1 equivalent. Ulnar osteotomy with plating and reduction of radial head separation with transcapitellar wire fixation was done. Above elbow cast given for 6 weeks. RESULTS: At 1 year follow-up, patient had regained good range of motion of elbow and forearm with maintenance of radial head reduction. CONCLUSION: This study stresses on the need of surgical treatment in treating chronic Monteggia fractures. In best hands, it gives excellent results.