Abstract:
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.
journal_name
Medicine (Baltimore)journal_title
Medicineauthors
Wang J,Chen M,Du Jdoi
10.1097/MD.0000000000006377subject
Has Abstractpub_date
2017-03-01 00:00:00pages
e6377issue
11eissn
0025-7974issn
1536-5964pii
00005792-201703170-00061journal_volume
96pub_type
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