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Summary
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This case report details a rare distal forearm fracture with an overlooked Monteggia Bado type III injury in a child. It emphasizes the need for thorough examination to diagnose all fractures in pediatric patients.

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Area of Science:

  • Orthopedic Surgery
  • Pediatric Traumatology
  • Radiology

Background:

  • Multiple fractures are uncommon in children, occurring in about 1% of cases.
  • Accurate diagnosis of pediatric fractures requires meticulous physical and radiographic assessment.
  • Undiagnosed injuries can lead to long-term complications.

Observation:

  • A rare case of distal forearm fracture presented with an initially overlooked ipsilateral Monteggia Bado type III injury.
  • The Monteggia Bado type III injury involved disruption of the ulna and radius.
  • The fracture pattern necessitated a comprehensive diagnostic approach.

Findings:

  • The overlooked Monteggia Bado type III injury was identified upon further investigation.
  • Comprehensive radiographic examination is crucial for detecting associated injuries.
  • Arthrography proved useful for intraoperative assessment of joint stability.

Implications:

  • Highlights the importance of vigilance in diagnosing pediatric fractures, especially those with multiple components.
  • Underscores the necessity of advanced imaging techniques like arthrography when indicated.
  • Provides learning objectives for clinicians managing complex pediatric upper extremity injuries.