Jornal de Trauma e Tratamento

Monteggia Equivalent with Posterior Interosseous Nerve Palsy in a Child

Abstract

Kumar P

Monteggia fracture dislocation is not an uncommon paediatric forearm injury. There exists four types of Monteggia fractures as classified by Bado and as many Monteggia variants have been described in literature. Accurate and early diagnosis and management leads to excellent results. Neurological complications associated with this injury have been described in the form of anterior and posterior interosseous nerve injuries. But these are extremely rare, and most are associated with neglected and missed injuries. We present a case of fresh Monteggia variant type 1 Injury having greenstick fracture of Ulna and Salter Harris type I injury to proximal radial epiphysis with posterior interosseous nerve palsy which was managed successfully with excellent function outcome. This unique combination has never been reported earlier.