Unsual Monteggia fracture: a case report
Keywords:
LM- Luxofractura de Monteggia LTC- Lesiones traumáticas del codo FC- Fracturas del codoAbstract
Background: Monteggia's fracture is generally an uncommon traumatic injury, even more when it is one of its equivalent injuries.
Objective: to show the evolution of a patient with an uncommon Monteggia's fracture.
Case report: a 37 year-old black, woman, without health antecedents, who suffered a fall from her own feet in her bathroom, was taken to emergency room of Orthopedic and Traumatology complaining of pain, swelling and limitation of movement of the right elbow and distal. Because of the lesion features, surgical treatment was needed by open reduction and internal fixation of both fractures of the ulna.
Conclusions: Monteggia's fracture is an unusual lesion, even more some equivalent type 1 lesions which occur more common in children than adults.
DeCS: ELBOW/injuries; ELBOW/surgery; MONTEGGIA'S FRACTURE/surgery; MONTEGGIA'S FRACTURE /diagnostic imaging; FRACTURE FIXATION.
Downloads
References
1. Mostofi SB. Who's who in Orthopedics. London: Springer; 2005.
2. Streubel PN, Pesántez RF. Diaphyseal fractures of the radius and ulna. En: Court Brown CM, Heckman JD, McQueen MM, Ricci WM, Tornetta P, editors. Rockwood and Green's Fractures in Adults. 8th ed. Philadelphia: Wolters Kluwer;2015.p.1121-77.
3. Bahrami Freiduni M, Baghianimoghadam B, Erfani R. A type of Monteggia fracture, highly susceptible to misdiagnosis. J Family Med Prim Care. 2016 Jul-Sep;5(3):739-740.
4. Hamaker M, Zheng A, Eglseder WA, Pensy RA. The adult Monteggia fracture: patterns and incidence of annular ligament incarceration among 121 cases at a single institution over 19 years. J Hand Surg Am. 2018 Jan;43(1):85.
5. Perez EA. Fractures of the shoulder, arm, and forearm. En: Azar FM, Beaty JH, Canale ST, editors. Campbell's Operative Orthopaedics. 13th ed. Philadelphia: Elsevier;2017.p.2984-6.
6. Ozel O, Demircay E. Review of management of unstable elbow fractures. World J Orthop. 2016 Jan 18;7(1):50-4.
7. Kamudin N, Firdouse M, Han CS, Yusof A. Variants of Monteggia type injury: case reports. Malays Orthop J. 2015 Mar;9(1):23-7.
8. Singh D, Awasthi B, Padha V, Thakur S. A very rare presentation of type 1 Monteggia equivalent fracture with ipsilateral fracture of distal forearm-approach with outcome: case report. J Orthop Case Rep. 2016 Sep-Oct;6(4):57-61.
9. Adams JE. Forearm instability: anatomy, biomechanics, and treatment options. J Hand Surg Am. 2017 Jan;42(1):47-52.
10. Matar HE, Akimau PI, Stanley D, Ali AA. Surgical treatment of Monteggia variant fracture dislocations of the elbow in adults: surgical technique and clinical outcomes. Eur J Orthop Surg Traumatol. 2017 Jul;27(5):599-605.
11. Wegmann K, Engel K, Skouras E, Hackl M, Müller LP, Hopf JC, et al. Reconstruction of Monteggia-like proximal ulna fractures using different fixation devices: A biomechanical study. Injury. 2016 Aug;47(8):1636-41.
12. Gooi SG, Wang CS, Saw A, Zulkiflee O. Ulnar osteotomy with 2-pin unilateral gradual distraction for treatment of chronic Monteggia fracture: a case report. Malays Orthop J. 2017 Mar;11(1):79-81.

Published
How to Cite
Issue
Section
License
Copyright: Camagüey Medical Archive Magazine, offers immediately after being indexed in the SciELO Project; Open access to the full text of the articles under the principle of making available and free the research to promote the exchange of global knowledge and contribute to a greater extension, publication, evaluation and extensive use of the articles that can be used without purpose As long as reference is made to the primary source.
Conflicts of interest: authors must declare in a mandatory manner the presence or not of conflicts of interest in relation to the investigation presented.
(Download Statement of potential conflicts of interest)
The Revista Archivo Médico de Camagüey is under a License Creative Commons Attribution-Noncommercial-No Derivative Works 4.0 International (CC BY 4.0).
This license allows others to distribute, to mix, to adjust and to build from its work, even for commercial purposes, as long as it is recognized the authorship of the original creation. This is the most helpful license offered. Recommended for maximum dissemination and use of licensed materials. The full license can be found at: https://creativecommons.org/licenses/