Journal
JOURNAL OF ORTHOPAEDICS AND TRAUMATOLOGY
Volume 15, Issue 1, Pages 63-67Publisher
SPRINGER-VERLAG ITALIA SRL
DOI: 10.1007/s10195-013-0239-x
Keywords
Monteggia; Bado; Elbow dislocation; DRUJ; Radial shaft; Distal ulna; Both bones
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Originally described by Monteggia and later classified by Bado, elbow dislocations with concurrent radial and ulnar shaft fractures with distal radioulnar joint (DRUJ) disruption are considered operative cases with high-energy injurious etiologies. Here, we present an unclassifiable Monteggia variant fracture suffered through a high axial load mechanism in a 47-year-old female. The fracture pattern initially exhibited included a divergent elbow dislocation, a radial shaft fracture, plastic deformation of the distal ulna, and DRUJ instability. Here we describe the pattern in detail, along with definitive treatment and clinical outcome at 1 year follow-up.
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