A Rare Pediatric Monteggia Equivalent Fracture: Case Report, Literature Review and a New Proposed Pediatric Bado Classification

Rómulo Silva; Luis F Pinto; José Fernandes; Francisca Pinho Costa; Joana Manuel Freitas; Jorge Coutinho

doi:10.18502/crcp.v7i1.9630

Rómulo Silva Department of Orthopedics, Unidade Local de Saúde do Alto Minho, Viana do Castelo, Portugal.
Luis F Pinto Department of Orthopedics, Centro Hospital Tondela Viseu, Viseu, Portugal.
José Fernandes Department of Orthopedics, Centro Hospital de São João, Porto, Portugal.
Francisca Pinho Costa Department of Orthopedics, Centro Hospital de São João, Porto, Portugal.
Joana Manuel Freitas Department of Orthopedics, Centro Hospital de São João, Porto, Portugal.
Jorge Coutinho Department of Orthopedics, Centro Hospital de São João, Porto, Portugal.

DOI: https://doi.org/10.18502/crcp.v7i1.9630

Keywords: Pediatrics; Trauma; Forearm

Abstract

Variations of Monteggia fractures are uncommon in the pediatric population and demand a high suspicion for early recognition and treatment. The involvement of the radial head in these types of injury isn’t well documented, but literary reports are growing. We report a case of a poorly documented variant of a Monteggia Equivalent Fracture with a Salter-Harris II fracture of the radial head with medial displacement and propose a new approach to the Bado classification in the pediatric population based on a literature review.