Type III Monteggia fracture with posterior interosseous nerve injury in a child: A case report.

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

Medicine

authors

Wang J,Chen M,Du J

doi

10.1097/MD.0000000000006377

subject

Has Abstract

pub_date

2017-03-01 00:00:00

pages

e6377

issue

11

eissn

0025-7974

issn

1536-5964

pii

00005792-201703170-00061

journal_volume

96

pub_type

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