Cargando…
Type III Monteggia fracture with posterior interosseous nerve injury in a child: A case report
RATIONALE: Elbow injury in children by improper treatment or a delay of more than 3 weeks could lead to old unreduced Monteggia fracture, which are difficult to manage. Conservative or normal surgical methods usually fail. PATIENT CONCERNS: Herein, we present a 6-year-old boy with sustaining injury...
Autores principales: | , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Wolters Kluwer Health
2017
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5369935/ https://www.ncbi.nlm.nih.gov/pubmed/28296780 http://dx.doi.org/10.1097/MD.0000000000006377 |
Sumario: | RATIONALE: Elbow injury in children by improper treatment or a delay of more than 3 weeks could lead to old unreduced Monteggia fracture, which are difficult to manage. Conservative or normal surgical methods usually fail. PATIENT CONCERNS: Herein, we present a 6-year-old boy with sustaining injury approximately 1 month to his left elbow. Activity in his elbow was restricted, and his ability to extend his wrist and fingers was impaired. DIAGNOSES: Type III Monteggia elbow fracture-dislocation consisting of radial head dislocation and malunion of the ulna associated with posterior interosseous nerve palsy were confirmed, which requiring surgical treatment. INTERVENTIONS: A closed reduction was performed with hyperplastic scar tissues erased and the radial head relocated. OUTCOMES: Follow-up 4 months later showed satisfactory recovery of function. LESSONS: Forearm fractures in children may be misjudged, and that early anatomical reduction rather than conservative treatment may be required. |
---|