A Novel Case of Neglected Monteggia Fracture Dislocation

Arvin Najafi; Pouria Basiri; Salman Azarsina; Mohamad Sajad Mirhoseini; Ehsan Seif

doi:10.18502/jost.v7i3.8113

Arvin Najafi Assistant Professor, Department of Orthopedics, Shahid Madani Hospital, School of Medicine, Alborz University of Medical Sciences, Karaj, Iran
Pouria Basiri General Practitioner and Researcher, Research Committee, School of Medicine, Alborz University of Medical Sciences, Karaj, Iran
Salman Azarsina Assistant Professor, Department of Orthopedics, Shahid Madani Hospital, School of Medicine, Alborz University of Medical Sciences, Karaj, Iran
Mohamad Sajad Mirhoseini Assistant Professor, Department of Orthopedics, Shahid Madani Hospital, School of Medicine, Alborz University of Medical Sciences, Karaj, Iran
Ehsan Seif General Practitioner and Researcher, Research Committee, School of Medicine, Alborz University of Medical Sciences, Karaj, Iran

DOI: https://doi.org/10.18502/jost.v7i3.8113

Keywords: Elbow; Joint Dislocations; Monteggia's Fracture

Abstract

Background: The Monteggia fracture-dislocation is a rare condition among children, and its treatment is still controversial. The treatment can become quite complicated when the diagnosis is delayed. There is a broad range of surgical treatments with various complications like subluxations, degenerative changes, and radial head deformity. The present case was reported as a novel surgical treatment choice for neglected Monteggia fracture-dislocation.

Case Report: A 16 year-old boy presented with left elbow severe range of motion (ROM) limitation and pain who was diagnosed with neglected Monteggia fracture-dislocation. The patient went through open reduction beside internal fixation of the ulnar shaft via Limited Contact Dynamic Compression Plate (LC-DCP) and radio-capitellar joint reduction and provisional fixation by a pin. The patient recovered after three months with a significant increase in elbow ROM without any complications.

Conclusion: This method could be an appropriate treatment of choice for neglected Monteggia fractures which indeed had excellent outcomes without complication.