Monteggia fracture-dislocation with intercondylar fracture of the ipsilateral humerus: a new type III Monteggia equivalent

2016-10-06T18-09-02Z
Source: The Southeast Asian Journal of Case Report and Review
Dr.Aakash Mugalur, Dr.Binoti A Sheth.
Monteggia fracture dislocations are rare but complex injuries usually involving a fracture of the ulna and dislocation of the radial head. Monteggia Fracture dislocations are associated with other concomitant injuries in the ipsilateral upper limb. However, ipsilateral distal intercondylar fracture of the humerus and Monteggia fracture dislocation in adults are very rare with only 4 cases described in literature till date. We presented an exceptionally rare case of type III Monteggia fracture dislocation with intercondylar distal humerus fracture with posterior interosseous nerve palsy. The patient was treated with open reduction and internal fixation with post operative physiotherapy. The posterior interosseous nerve palsy recovered without any operative intervention. The patient had good functional outcome with no disability. We consider it to be a type III Monteggia equivalent adding to the expanding list of equivalent lesions.


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