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Delayed treatment of a neonatal type-I Monteggia fracture-dislocation: a case report

William R Smith1, Scott H Kozin2, Dan A Zlotolow2

  • 1Department of Orthopaedics and Sports Medicine, Temple University Hospital.

Journal of Pediatric Orthopedics. Part B
|March 3, 2017
PubMed

Insights

Delayed diagnosis of Monteggia fracture-dislocation can complicate treatment. This case highlights a neonatal injury, missed on initial radiography, successfully treated with external fixation and closed reduction, maintaining joint congruity.

Area of Science:

  • Pediatric Orthopedics
  • Traumatology
  • Medical Imaging

Background:

  • Monteggia fracture-dislocation is often missed in neonates due to challenges in visualizing the unossified skeleton via radiography.
  • Delayed diagnosis transforms a treatable injury into a complex orthopedic problem.

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