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Variants of Monteggia Type Injury: Case Reports.

Naf Kamudin1, M Firdouse2, C S Han2

  • 1Faculty of Medicine, Universiti Sultan Zainal Abidin, Kuala Terengganu, Malaysia.

Malaysian Orthopaedic Journal
|April 25, 2017
PubMed
Summary

This study presents two rare pediatric Monteggia fracture-dislocation variants, emphasizing the importance of thorough clinical examination and radiographs to avoid misdiagnosis of these complex injuries.

Keywords:
Monteggia fracture-dislocationhybrid lesion clinical examination and radiographsurgery

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Area of Science:

  • Pediatric Orthopedics
  • Pediatric Trauma Surgery

Background:

  • Monteggia fracture-dislocation is a rare injury in children, with numerous reported variations.
  • The rarity and variability of this injury increase the risk of missed diagnoses without careful clinical assessment and imaging.

Observation:

  • Case 1: A 12-year-old girl sustained a combined Type III Monteggia injury with an ipsilateral Type II Salter-Harris distal radius fracture after a fall.
  • Case 2: A 13-year-old experienced a closed, atypical Type I Monteggia hybrid lesion fracture in a road traffic accident.

Findings:

  • The report details two uncommon presentations of Monteggia fracture-dislocation in pediatric patients.
  • Accurate diagnosis was achieved through comprehensive clinical evaluation and radiographic imaging.

Implications:

  • Highlights the need for vigilance in diagnosing rare pediatric fracture-dislocations.
  • Underscores the critical role of clinical examination and radiography in identifying complex orthopedic injuries in children.