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Neglected Monteggia Fracture Dislocations in Children: A Case Series

INTRODUCTION: Monteggia fracture dislocations are a relatively rare entity and they represent less than 2% of forearm fractures, the diagnosis can be missed in up to 50% of the time. The gold standard of treatment in adults has been open reduction and internal fixation, and closed reduction and cast...

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Autor principal: Alajmi, Turki Abdullah S.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Indian Orthopaedic Research Group 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7857649/
https://www.ncbi.nlm.nih.gov/pubmed/33585318
http://dx.doi.org/10.13107/jocr.2020.v10.i07.1918
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author Alajmi, Turki Abdullah S.
author_facet Alajmi, Turki Abdullah S.
author_sort Alajmi, Turki Abdullah S.
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description INTRODUCTION: Monteggia fracture dislocations are a relatively rare entity and they represent less than 2% of forearm fractures, the diagnosis can be missed in up to 50% of the time. The gold standard of treatment in adults has been open reduction and internal fixation, and closed reduction and cast immobilization in pediatrics. CASE REPORT: We present three cases series of neglected Monteggia fractures in a 5-, 4-, and 9-year-old patients. The patients presented 10, 20, and 25 days post-injury, respectively. Each case was treated differently with the last case requiring open reduction and annular ligament reconstruction. All the three cases showed excellent results on follow-up. CONCLUSION: To avoid missing these injuries, each patient should undergo a comprehensive clinical approach and adequate radiological imaging. Various treatment methods exist for neglected Monteggia fracture and each option should be exhausted to salvage the radial head starting with the less invasive approaches.
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spelling pubmed-78576492021-02-11 Neglected Monteggia Fracture Dislocations in Children: A Case Series Alajmi, Turki Abdullah S. J Orthop Case Rep Case Report INTRODUCTION: Monteggia fracture dislocations are a relatively rare entity and they represent less than 2% of forearm fractures, the diagnosis can be missed in up to 50% of the time. The gold standard of treatment in adults has been open reduction and internal fixation, and closed reduction and cast immobilization in pediatrics. CASE REPORT: We present three cases series of neglected Monteggia fractures in a 5-, 4-, and 9-year-old patients. The patients presented 10, 20, and 25 days post-injury, respectively. Each case was treated differently with the last case requiring open reduction and annular ligament reconstruction. All the three cases showed excellent results on follow-up. CONCLUSION: To avoid missing these injuries, each patient should undergo a comprehensive clinical approach and adequate radiological imaging. Various treatment methods exist for neglected Monteggia fracture and each option should be exhausted to salvage the radial head starting with the less invasive approaches. Indian Orthopaedic Research Group 2020-10 /pmc/articles/PMC7857649/ /pubmed/33585318 http://dx.doi.org/10.13107/jocr.2020.v10.i07.1918 Text en Copyright: © Indian Orthopaedic Research Group http://creativecommons.org/licenses/by-nc-sa/3.0 This is an open-access article distributed under the terms of the Creative Commons Attribution-Noncommercial-Share Alike 3.0 Unported, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Report
Alajmi, Turki Abdullah S.
Neglected Monteggia Fracture Dislocations in Children: A Case Series
title Neglected Monteggia Fracture Dislocations in Children: A Case Series
title_full Neglected Monteggia Fracture Dislocations in Children: A Case Series
title_fullStr Neglected Monteggia Fracture Dislocations in Children: A Case Series
title_full_unstemmed Neglected Monteggia Fracture Dislocations in Children: A Case Series
title_short Neglected Monteggia Fracture Dislocations in Children: A Case Series
title_sort neglected monteggia fracture dislocations in children: a case series
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7857649/
https://www.ncbi.nlm.nih.gov/pubmed/33585318
http://dx.doi.org/10.13107/jocr.2020.v10.i07.1918
work_keys_str_mv AT alajmiturkiabdullahs neglectedmonteggiafracturedislocationsinchildrenacaseseries