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Monteggia Fracture in an Extremely Preterm Infant with Biochemical Rickets: A Case Report

Luke Viehl1, Brian A Kelly2, William McAlister3

  • 1Department of Pediatrics, Washington University School of Medicine at St. Louis Children's Hospital, St. Louis, Missouri.

JBJS Case Connector
|July 11, 2020
PubMed

Insights

This case report details a preterm neonate with biochemical rickets and a Monteggia fracture. Percutaneous pinning achieved complete healing and full range of motion, highlighting a unique fracture type in premature infants.

Area of Science:

  • Orthopedic surgery
  • Neonatal care
  • Pediatric endocrinology

Background:

  • Biochemical rickets can predispose preterm neonates to unique skeletal injuries.
  • Monteggia fractures are rare in the neonatal period, especially in preterm infants with fragile bones.
  • Optimal management strategies for these fractures in neonates are not well-established.
Abstract

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