A novel variant of type-II Monteggia equivalent in an adult: A case report with a 6-year follow-up

Q4 Medicine Trauma Case Reports Pub Date : 2024-06-06 DOI:10.1016/j.tcr.2024.101061

Zackariya Mohamed , Owais Ahmed , Devendra Agraharam , Jafri Sayyadshadab Shahidali , Muthukumar Soundararajan , Dheenadhyalan Jayaramaraju , Shanmuganathan Rajasekaran

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引用次数: 0

Abstract

Case

An 18-year-old right-handed male student presented after a road-traffic-accident; he had type-II Monteggia fracture dislocation associated with ipsilateral type-I capitellum fracture and comminuted lateral condyle avulsion fracture. He underwent open reduction and fixation of ulna with 3.5 DCP with autologous olecranon bone grafting and fixation of capitellum using Herbert screw along with lateral collateral ligament (LCL) repair using fiber wire. At 6-years follow-up good outcome was seen without functional restrictions despite 15 degrees of restriction in pronation.

Conclusion

Monteggia type-II variant with type-I capitellum fracture and LCL avulsion is a unique combination that represents a novel variant of type-II Monteggia equivalent, which adds to the existing classification of Monteggia equivalents.

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一名成人的新型 II 型蒙特基亚等位变异体：随访 6 年的病例报告

病例：一名 18 岁的右撇子男学生在一次交通事故后就诊，他患有 II 型蒙氏骨折脱位，伴有同侧 I 型岬角骨折和粉碎性外侧髁撕脱骨折。他接受了切开复位术，用 3.5 DCP 固定尺骨，并进行了自体肩胛骨移植，用赫伯特螺钉固定岬骨，同时用纤维丝修复外侧副韧带（LCL）。结论Monteggia II型变异伴I型岬角骨折和LCL撕脱是一种独特的组合，代表了Monteggia II型变异的一种新的等同型，为现有的Monteggia等同型分类增添了新的内容。

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来源期刊

Trauma Case Reports Medicine-Emergency Medicine

CiteScore

0.60

自引率

0.00%

发文量

131

审稿时长

26 weeks

期刊介绍： Trauma Case Reports is the only open access, online journal dedicated to the publication of case reports in all aspects of trauma care and accident surgery. Case reports on all aspects of trauma management, surgical procedures for all tissues, resuscitation, anaesthesia and trauma and tissue healing will be considered for publication by the international editorial team and will be subject to peer review. Bringing together these cases from an international authorship will shed light on surgical problems and help in their effective resolution.