Neglected Type I Monteggia Fracture Dislocation in Adult
| Autor: | Inder Pawar, Archit Agarwal |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2017 |
| Předmět: |
medicine.medical_specialty
Monteggia fracture dislocation medicine.medical_treatment Clinical Biochemistry Elbow lcsh:Medicine elbow trauma 03 medical and health sciences 0302 clinical medicine medicine Internal fixation radial head dislocation Reduction (orthopedic surgery) 030222 orthopedics business.industry Ulna lcsh:R ulna fracture 030229 sport sciences General Medicine neglected Surgery medicine.anatomical_structure Ligament Orthopaedics Section Range of motion business Ulna Fractures |
| Zdroj: | Journal of Clinical and Diagnostic Research, Vol 11, Iss 8, Pp RD01-RD02 (2017) |
| Popis: | Neglected Monteggia fracture dislocation is one of the challenging case and it becomes more of a therapeutic dilemma especially in adults. Several surgical techniques are described and in spite of this complication rate following surgery is high. This report concerns with management of three-month-old monteggia fracture dislocation in a 30-year-old male. Patient presented with complete loss of movement at elbow. Patient was managed surgically, with internal fixation of ulna and reduction of radial head with radio-capitellar Kirschner wires. Postoperatively at six months, ulna united and patient has achieved flexion from 50 to 115 degrees at elbow and supination pronation arc of 120 degrees. We do not see any indication for procedures directed at the reconstruction of annular ligament. The dilemma remains whether radial head preservation or excision gives better functional range of motion in adult neglected monteggia fracture dislocation. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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