[Type III Monteggia lesion: a rare association, about a case]

Area of Science:

• Orthopedic Surgery
• Pediatric Traumatology
• Radiology

Background:

• Type III Monteggia fractures are rare injuries involving the ulna and radius.
• These injuries often result from significant trauma and can be missed on initial evaluation.
• Early diagnosis and appropriate management are crucial for optimal outcomes in pediatric patients.

Observation:

• An 11-year-old boy presented with an upper limb injury after blunt trauma.
• Radiological imaging revealed an olecranon fracture and a concomitant radial head dislocation.
• The injury pattern was consistent with a Type III Monteggia fracture-dislocation.

Findings:

• The patient received orthopedic treatment for the complex fracture-dislocation.
• Surgical or non-surgical management depends on fracture pattern and stability.
• The child demonstrated a good clinical outcome following treatment.

Implications:

• This case underscores the need for high suspicion and thorough radiological assessment in pediatric upper limb trauma.
• Timely orthopedic intervention can lead to favorable functional recovery.
• Understanding rare fracture patterns like Type III Monteggia is vital for pediatric orthopedic specialists.