Monteggia fracture dislocation equivalent in children: A rare case report

Abstract

Monteggia fractures account for less than 1% of all paediatric elbow dislocations, with a peak age of 4 to 10 years. Although rare, they receive considerable interest because they are often missed, resulting in poor outcomes. There have been numerous reports of Monteggia equivalents including the three most common- isolated radial head dislocation, fracture of the proximal ulna with fracture of the radial neck and both bone proximal third fractures with radial fracture more proximal than the ulnar fracture. We present a case of 6 year old boy with minimally comminuted metaphyseal fracture of ulna extending to proximal diaphysis with anterior dislocation of radial head managed by closed reduction and fixation by percutaneous Kirschner-Wires.