European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2012
Surgical treatment of chronic Monteggia type I equivalent lesion in 11 year old: a rare case report.
СтатьяНазвание и аннотация: Перевод пока не подготовлен
Обработка статьи · этапы, ошибки и управление
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История · было → стало
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Haveri Sameer, Jatti Ravi, Putti B B
Аннотация
BACKGROUND: The treatment of an unrecognized Monteggia lesion continues to pose a therapeutic challenge, as evidenced by the variety of surgical techniques described. The purpose of this study is to report one such rare case and its surgical treatment.
CASE REPORT: Eleven-year-old girl presented to us with left elbow injury 6 weeks after fall. On examination, she had deformity and total restriction of elbow movements. X-ray showed upper third ulnar fracture with separation of radial head epiphysis suggesting Monteggia fracture type 1 equivalent. Ulnar osteotomy with plating and reduction of radial head separation with transcapitellar wire fixation was done. Above elbow cast given for 6 weeks.
RESULTS: At 1 year follow-up, patient had regained good range of motion of elbow and forearm with maintenance of radial head reduction.
CONCLUSION: This study stresses on the need of surgical treatment in treating chronic Monteggia fractures. In best hands, it gives excellent results.
CASE REPORT: Eleven-year-old girl presented to us with left elbow injury 6 weeks after fall. On examination, she had deformity and total restriction of elbow movements. X-ray showed upper third ulnar fracture with separation of radial head epiphysis suggesting Monteggia fracture type 1 equivalent. Ulnar osteotomy with plating and reduction of radial head separation with transcapitellar wire fixation was done. Above elbow cast given for 6 weeks.
RESULTS: At 1 year follow-up, patient had regained good range of motion of elbow and forearm with maintenance of radial head reduction.
CONCLUSION: This study stresses on the need of surgical treatment in treating chronic Monteggia fractures. In best hands, it gives excellent results.