A Type III Monteggia Injury with Ipsilateral Fracture of the Distal Radius and Ulna in a Child: Case Report Followed for 21 Years

Bado type III Monteggia injuries complicated by ipsilateral forearm fractures are extremely rare. We report a case of a 6-year-old boy who sustained such an injury after falling from the top of a 3 m climbing pole. He was diagnosed with a Bado type III Monteggia fracture and forearm fractures. Manua...

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Main Authors: Takeshi Inoue, Makoto Kubota, Keishi Marumo
Format: Article
Language:English
Published: Wiley 2018-01-01
Series:Case Reports in Orthopedics
Online Access:http://dx.doi.org/10.1155/2018/1876075
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author Takeshi Inoue
Makoto Kubota
Keishi Marumo
author_facet Takeshi Inoue
Makoto Kubota
Keishi Marumo
author_sort Takeshi Inoue
collection DOAJ
description Bado type III Monteggia injuries complicated by ipsilateral forearm fractures are extremely rare. We report a case of a 6-year-old boy who sustained such an injury after falling from the top of a 3 m climbing pole. He was diagnosed with a Bado type III Monteggia fracture and forearm fractures. Manual reduction was attempted on the day of injury. However, because it was difficult to maintain the reduction of the radial head, open and percutaneous procedures were performed to reduce and fixate the fractures with Kirschner wires. The postoperative course was favorable. Twenty-one years later, the patient, now 27 years old, had no decreased range of joint motion or problems with activities of daily living. The fracture morphology observed in this case is rare, and this is the only case for which long-term follow-up has been carried out to adulthood.
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spelling doaj-art-ec5929f9fb584134bf3e2e75bb642cec2025-02-03T01:12:54ZengWileyCase Reports in Orthopedics2090-67492090-67572018-01-01201810.1155/2018/18760751876075A Type III Monteggia Injury with Ipsilateral Fracture of the Distal Radius and Ulna in a Child: Case Report Followed for 21 YearsTakeshi Inoue0Makoto Kubota1Keishi Marumo2Department of Orthopaedic Surgery, Jikei University School of Medicine, 3-25-8 Nishishinnbashi, Minato-ku, Tokyo 105-8461, JapanDepartment of Orthopaedic Surgery, Jikei University School of Medicine, 3-25-8 Nishishinnbashi, Minato-ku, Tokyo 105-8461, JapanDepartment of Orthopaedic Surgery, Jikei University School of Medicine, 3-25-8 Nishishinnbashi, Minato-ku, Tokyo 105-8461, JapanBado type III Monteggia injuries complicated by ipsilateral forearm fractures are extremely rare. We report a case of a 6-year-old boy who sustained such an injury after falling from the top of a 3 m climbing pole. He was diagnosed with a Bado type III Monteggia fracture and forearm fractures. Manual reduction was attempted on the day of injury. However, because it was difficult to maintain the reduction of the radial head, open and percutaneous procedures were performed to reduce and fixate the fractures with Kirschner wires. The postoperative course was favorable. Twenty-one years later, the patient, now 27 years old, had no decreased range of joint motion or problems with activities of daily living. The fracture morphology observed in this case is rare, and this is the only case for which long-term follow-up has been carried out to adulthood.http://dx.doi.org/10.1155/2018/1876075
spellingShingle Takeshi Inoue
Makoto Kubota
Keishi Marumo
A Type III Monteggia Injury with Ipsilateral Fracture of the Distal Radius and Ulna in a Child: Case Report Followed for 21 Years
Case Reports in Orthopedics
title A Type III Monteggia Injury with Ipsilateral Fracture of the Distal Radius and Ulna in a Child: Case Report Followed for 21 Years
title_full A Type III Monteggia Injury with Ipsilateral Fracture of the Distal Radius and Ulna in a Child: Case Report Followed for 21 Years
title_fullStr A Type III Monteggia Injury with Ipsilateral Fracture of the Distal Radius and Ulna in a Child: Case Report Followed for 21 Years
title_full_unstemmed A Type III Monteggia Injury with Ipsilateral Fracture of the Distal Radius and Ulna in a Child: Case Report Followed for 21 Years
title_short A Type III Monteggia Injury with Ipsilateral Fracture of the Distal Radius and Ulna in a Child: Case Report Followed for 21 Years
title_sort type iii monteggia injury with ipsilateral fracture of the distal radius and ulna in a child case report followed for 21 years
url http://dx.doi.org/10.1155/2018/1876075
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