A Rare Pediatric Monteggia Equivalent Fracture: Case Report, Literature Review and a New Proposed Pediatric Bado Classification
-
Rómulo Silva
,
Luis Ferreira Pinto
,
José Cunha Fernandes
,
Francisca Costa
,
Joana Manuel Freitas
,
Jorge Coutinho
Abstract
Variations of Monteggia fractures are uncommon in the pediatric population and demand a high suspicion for early recognition and treatment. The involvement of the radial head in these types of injury isn’t well documented, but literary reports are growing. We report a case of a poorly documented variant of a Monteggia Equivalent Fracture with a Salter-Harris II fracture of the radial head with medial displacement and propose a new approach to the Bado classification in the pediatric population based on a literature review.
[1] Shah AS, Samora JB. Monteggia fracture dislocation in children. In: Waters PM, Skaggs DL, Flynn JM, editors. Rockwood and wilkins’ fractures in children. Philadelphia: Wolters Kluwer Health; 2014.pp. 658-664. https://books.google.com/books?id=OD51BAAAQBAJ &dq=Rockwood+and+Wilkins%27+Fractures+in+Children,+9th+ed
[2] Bado JL. The monteggia lesion. Nashville: Thomas ; 1962. https:// books.google.com/books?id=72ZsAAAAMAAJ&q=The+Monteggia +Lesion&dq=The+Monteggia+Lesion&hl=en&sa=X&ved=2ahUKEw
[3] Olney BW, Menelaus MB. Monteggia and equivalent lesions in childhood. Journal of Pediatric Orthopedics. 1989; 9(2):219-23. [DOI:10.1097/01241398-198903000-00021] [PMID]
[4] Reina N, Laffosse JM, Abbo O, Accadbled F, Bensafi H, Chiron P. Monteggiaequivalent fracture associated with salter I fracture of the radial head. Journal of Pediatric Orthopaedics B. 2012; 21(6):532-5. [DOI:10.1097/BPB.0b013e32834d4e06] [PMID]
[5] Kamali M. Monteggia fracture: Presentation of an unusual case. The Journal of Bone & Joint Surgery. 1974; 56(4):841-3. [DOI:10.2106/00004623-197456040-00026] [PMID]
[6] ElKhouly A, Fairhurst J, Aarvold A. The monteggia fracture: Lit- erature review and report of a new variant. Journal of Orthopae- dic Case Reports. 2018; 8(4):78-81. [DOI:10.13107/jocr.2250- 0685.1170][PMID][PMCID]
[7] Younus A, Ncobela N, Kelly A. New bado type iv monteggia frac- turedislocation variant occurring in a child: A case report. East Afri- can Orthopaedic Journal. 2019; 13(2):88-91. https://www.ajol.info/ index.php/eaoj/article/view/191069
[8] Alrashidi Y. A monteggia variant associated with unusual frac- ture of radial head in a young child: A case report. International Journal of Surgery Case Reports. 2020; 78:42-7. [DOI:10.1016/j. ijscr.2020.11.142] [PMID] [PMCID]
[9] Segaren N, Abdul-Jabar HB, Segaren N, Barry M. Medial radial head dislocation associated with a proximal olecranon fracture: A bado type v? Case Reports in Surgery. 2014; 2014:723756. [DOI:10.1155/2014/723756] [PMID] [PMCID]
[10] Takase K, Mizuochi J. Irreducible dislocation of the radial head with undisplaced olecranon fracture in a child: A case report. Jour- nal of Pediatric Orthopaedics B. 2011; 20(5):345-8. [DOI:10.1097/ BPB.0b013e32834534cb]
[11] Čepelík M, Pešl T, Hendrych J, Havránek P. Monteggia lesion and its equivalents in children. Journal of Children’s Orthopaedics. 2019; 13(6):560-8. [DOI:10.1302/1863-2548.13.190131] [PMID] [PMCID]
[12] Sferopoulos NK. Monteggia type IV equivalent injury. The Open Orthopaedics Journal. 2011; 5:198-200. [DOI:10.2174/1874325001 105010198] [PMID] [PMCID]
[2] Bado JL. The monteggia lesion. Nashville: Thomas ; 1962. https:// books.google.com/books?id=72ZsAAAAMAAJ&q=The+Monteggia +Lesion&dq=The+Monteggia+Lesion&hl=en&sa=X&ved=2ahUKEw
[3] Olney BW, Menelaus MB. Monteggia and equivalent lesions in childhood. Journal of Pediatric Orthopedics. 1989; 9(2):219-23. [DOI:10.1097/01241398-198903000-00021] [PMID]
[4] Reina N, Laffosse JM, Abbo O, Accadbled F, Bensafi H, Chiron P. Monteggiaequivalent fracture associated with salter I fracture of the radial head. Journal of Pediatric Orthopaedics B. 2012; 21(6):532-5. [DOI:10.1097/BPB.0b013e32834d4e06] [PMID]
[5] Kamali M. Monteggia fracture: Presentation of an unusual case. The Journal of Bone & Joint Surgery. 1974; 56(4):841-3. [DOI:10.2106/00004623-197456040-00026] [PMID]
[6] ElKhouly A, Fairhurst J, Aarvold A. The monteggia fracture: Lit- erature review and report of a new variant. Journal of Orthopae- dic Case Reports. 2018; 8(4):78-81. [DOI:10.13107/jocr.2250- 0685.1170][PMID][PMCID]
[7] Younus A, Ncobela N, Kelly A. New bado type iv monteggia frac- turedislocation variant occurring in a child: A case report. East Afri- can Orthopaedic Journal. 2019; 13(2):88-91. https://www.ajol.info/ index.php/eaoj/article/view/191069
[8] Alrashidi Y. A monteggia variant associated with unusual frac- ture of radial head in a young child: A case report. International Journal of Surgery Case Reports. 2020; 78:42-7. [DOI:10.1016/j. ijscr.2020.11.142] [PMID] [PMCID]
[9] Segaren N, Abdul-Jabar HB, Segaren N, Barry M. Medial radial head dislocation associated with a proximal olecranon fracture: A bado type v? Case Reports in Surgery. 2014; 2014:723756. [DOI:10.1155/2014/723756] [PMID] [PMCID]
[10] Takase K, Mizuochi J. Irreducible dislocation of the radial head with undisplaced olecranon fracture in a child: A case report. Jour- nal of Pediatric Orthopaedics B. 2011; 20(5):345-8. [DOI:10.1097/ BPB.0b013e32834534cb]
[11] Čepelík M, Pešl T, Hendrych J, Havránek P. Monteggia lesion and its equivalents in children. Journal of Children’s Orthopaedics. 2019; 13(6):560-8. [DOI:10.1302/1863-2548.13.190131] [PMID] [PMCID]
[12] Sferopoulos NK. Monteggia type IV equivalent injury. The Open Orthopaedics Journal. 2011; 5:198-200. [DOI:10.2174/1874325001 105010198] [PMID] [PMCID]
| Files | ||
| Issue | Vol 7 No 1 (2022): January-February | |
| Section | Case Report(s) | |
| DOI | https://doi.org/10.18502/crcp.v7i1.9630 | |
| Keywords | ||
| Pediatrics Trauma Forearm | ||
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This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License. |
How to Cite
1.
Silva R, Pinto L, Fernandes J, Costa F, Manuel Freitas J, Coutinho J. A Rare Pediatric Monteggia Equivalent Fracture: Case Report, Literature Review and a New Proposed Pediatric Bado Classification. CRCP. 2022;7(1):16-20.
