An Undescribed Monteggia Type 3 Equivalent Lesion: Lateral Dislocation of Radial Head with Both-Bone Forearm Fracture
| Autor: | Mahir Mahirogullari, Cem Sever, Melih Malkoc, Mahmut Enes Kayaalp, Mehmet Isyar, Adnan Kara |
|---|---|
| Rok vydání: | 2016 |
| Předmět: |
Both-Bone Forearm
medicine.medical_specialty medicine.medical_treatment Radiography Monteggia Type Case Report 030230 surgery law.invention Intramedullary rod Lesion 03 medical and health sciences 0302 clinical medicine lcsh:Orthopedic surgery law Lateral Dislocation medicine Reduction (orthopedic surgery) Orthodontics 030222 orthopedics business.industry Ulna Radial head Lateral dislocation General Medicine Surgery lcsh:RD701-811 Diaphysis medicine.anatomical_structure medicine.symptom business |
| Zdroj: | Case Reports in Orthopedics, Vol 2016 (2016) Case Reports in Orthopedics |
| ISSN: | 2090-6757 2090-6749 |
| Popis: | Monteggia fractures are accepted as hard-to-recognize and easy-to-handle fractures. Adequate radiographic investigations and clinical examinations are necessities. This case holds unique features involving diagnosis and treatment. In this case, the radial head was dislocated laterally while both bones were fractured in the proximal diaphysis, being the first to be mentioned in the literature. Closed reduction of the ulna is the preferred method of handling and almost always results in reduction of the radial head. Literature obligates ulnar reduction as a preliminary to reduce and stabilize the radial head. Closed reduction reduced the ulna but the radial head was not reduced. Hence an intramedullary K-wire was used to reduce the radial head and a long arm cast was used to stabilize the reduction. The operation was successful and follow-up showed no complications. |
| Databáze: | OpenAIRE |
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