Complex Monteggia fracture in a 5 year old
Tyler R Clark1, Daniel S Merriott, Joseph A Gonzales
1aDepartment of Orthopaedics, Tulane School of MedicinebDepartment of Orthopaedics, Children's Hospital, New Orleans, Louisiana, USA.
Journal of Pediatric Orthopedics. Part B
|November 30, 2016
Summary
Complex pediatric Monteggia fractures can be challenging. This case highlights the need for advanced imaging in irreducible fractures, even with ossification delays, to guide operative intervention.
Area of Science:
- Orthopedic Surgery
- Pediatric Orthopedics
- Pediatric Traumatology
Background:
- Monteggia fractures are uncommon in children and typically managed nonoperatively.
- Complex variants can be difficult to diagnose and may require surgical treatment.
Observation:
- A case of a Bado type I Monteggia fracture with posterior radial head and neck dislocation is presented.
- The patient exhibited ossification delays, necessitating advanced imaging.
Findings:
- The irreducible nature of the fracture required operative intervention.
- Advanced imaging identified the specific blocks to successful reduction.
Implications:
- This case underscores the importance of advanced imaging in diagnosing and managing complex pediatric Monteggia fractures.
- It provides a unique example of an irreducible variant and its successful surgical management.
Related Concept Videos
01:27Fractures: Bone Repair
6.2K
Treatment for a fracture is based on the type of break, the bone affected, and the patient's age.
Minor fractures with no bone displacement are treated by immobilizing the fractured bone using a cast or splint. However, in the case of fractures with displaced bones, the broken bones are repositioned before immobilization to ensure successful healing without deformation and loss of function. The realignment of fractured bone ends is performed through a process called reduction. If the...
Minor fractures with no bone displacement are treated by immobilizing the fractured bone using a cast or splint. However, in the case of fractures with displaced bones, the broken bones are repositioned before immobilization to ensure successful healing without deformation and loss of function. The realignment of fractured bone ends is performed through a process called reduction. If the...
6.2K
01:29Bone Disorders
5.8K
Aging and its effect on bone remodeling is the most common cause of bone disorders. In young and healthy people, bone deposition and resorption happen at an equal rate to maintain optimal bone health.
Bone deposition is also affected by the levels of sex hormones like estrogen and testosterone that promote osteoblast activity and bone matrix synthesis. When the level of these hormones decreases due to aging, it causes a reduction in bone deposition. As a result, bone resorption by osteoclasts...
Bone deposition is also affected by the levels of sex hormones like estrogen and testosterone that promote osteoblast activity and bone matrix synthesis. When the level of these hormones decreases due to aging, it causes a reduction in bone deposition. As a result, bone resorption by osteoclasts...
5.8K