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Lateral Monteggia fracture in children (case report)
Italian Journal of Orthopaedics and Traumatology
|March 1, 1983
Summary
A rare lateral Monteggia fracture in a child required complex surgical intervention. Prompt diagnosis and treatment are crucial for optimal outcomes in pediatric elbow fractures.
Area of Science:
- Orthopedic surgery
- Pediatric orthopedics
- Pediatric trauma
Background:
- Lateral Monteggia fractures are rare in children, with limited documented cases.
- Previous literature indicates a low incidence requiring open reduction for the ulna fracture.
Observation:
- A unique case of a pediatric lateral Monteggia fracture is presented.
- The child's treatment involved osteotomy of a nearly healed ulna fracture and orbicular ligament reconstruction.
- This specific surgical approach for this condition in a child has not been previously reported.
Findings:
- Delayed diagnosis necessitated open reduction and complex reconstruction.
- Despite the delay, the surgical intervention resulted in a satisfactory outcome.
- The child achieved full elbow function post-operatively.
Implications:
- Highlights the importance of early diagnosis and closed reduction for pediatric Monteggia fractures.
- Demonstrates the potential for successful surgical management even in delayed or complex cases.
- Underscores the need for awareness of rare fracture patterns in pediatric orthopedics.