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Two-Year Outcome of Synthetic Annular Ligament Reconstruction in the Elbow: A Case Report
Monteggia fracture is commonly treated with open anatomical reduction and fixation of the ulna fracture. The radial head will be automatically reduced once anatomical fixation of the ulna is achieved. However, it is occasionally associated with an irreducible radial head dislocation requiring an ope...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Cureus
2020
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7749806/ https://www.ncbi.nlm.nih.gov/pubmed/33364091 http://dx.doi.org/10.7759/cureus.11564 |
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author | Kesu Belani, Levin Abdullah, Shalimar Harun, Mohd Hezery Narin Singh, Parminder Singh Gill Sapuan, Jamari |
author_facet | Kesu Belani, Levin Abdullah, Shalimar Harun, Mohd Hezery Narin Singh, Parminder Singh Gill Sapuan, Jamari |
author_sort | Kesu Belani, Levin |
collection | PubMed |
description | Monteggia fracture is commonly treated with open anatomical reduction and fixation of the ulna fracture. The radial head will be automatically reduced once anatomical fixation of the ulna is achieved. However, it is occasionally associated with an irreducible radial head dislocation requiring an open reduction and reconstruction of the torn annular ligament. We describe a case of traumatic Monteggia fracture which underwent initial plating, however post-operative radiograph denoted an irreducible radial head secondary to a ruptured annular ligament. We reconstructed the annular ligament with a synthetic graft sling around the radial neck with an anchor suture. The radial head was stable in all directions after annular ligament reconstruction. A two-year follow-up shows full range of motion of the elbow joint with osteolysis of the radial head, no other operative morbidity was observed. |
format | Online Article Text |
id | pubmed-7749806 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | Cureus |
record_format | MEDLINE/PubMed |
spelling | pubmed-77498062020-12-23 Two-Year Outcome of Synthetic Annular Ligament Reconstruction in the Elbow: A Case Report Kesu Belani, Levin Abdullah, Shalimar Harun, Mohd Hezery Narin Singh, Parminder Singh Gill Sapuan, Jamari Cureus Radiology Monteggia fracture is commonly treated with open anatomical reduction and fixation of the ulna fracture. The radial head will be automatically reduced once anatomical fixation of the ulna is achieved. However, it is occasionally associated with an irreducible radial head dislocation requiring an open reduction and reconstruction of the torn annular ligament. We describe a case of traumatic Monteggia fracture which underwent initial plating, however post-operative radiograph denoted an irreducible radial head secondary to a ruptured annular ligament. We reconstructed the annular ligament with a synthetic graft sling around the radial neck with an anchor suture. The radial head was stable in all directions after annular ligament reconstruction. A two-year follow-up shows full range of motion of the elbow joint with osteolysis of the radial head, no other operative morbidity was observed. Cureus 2020-11-19 /pmc/articles/PMC7749806/ /pubmed/33364091 http://dx.doi.org/10.7759/cureus.11564 Text en Copyright © 2020, Kesu Belani et al. http://creativecommons.org/licenses/by/3.0/ This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. |
spellingShingle | Radiology Kesu Belani, Levin Abdullah, Shalimar Harun, Mohd Hezery Narin Singh, Parminder Singh Gill Sapuan, Jamari Two-Year Outcome of Synthetic Annular Ligament Reconstruction in the Elbow: A Case Report |
title | Two-Year Outcome of Synthetic Annular Ligament Reconstruction in the Elbow: A Case Report |
title_full | Two-Year Outcome of Synthetic Annular Ligament Reconstruction in the Elbow: A Case Report |
title_fullStr | Two-Year Outcome of Synthetic Annular Ligament Reconstruction in the Elbow: A Case Report |
title_full_unstemmed | Two-Year Outcome of Synthetic Annular Ligament Reconstruction in the Elbow: A Case Report |
title_short | Two-Year Outcome of Synthetic Annular Ligament Reconstruction in the Elbow: A Case Report |
title_sort | two-year outcome of synthetic annular ligament reconstruction in the elbow: a case report |
topic | Radiology |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7749806/ https://www.ncbi.nlm.nih.gov/pubmed/33364091 http://dx.doi.org/10.7759/cureus.11564 |
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