Anterior Dislocation of the Radial Head With Fractures of the Olecranon and Radial Neck in a Young Child

Ruchelsman, David E.; Klugman, Jeffrey A.; Madan, Sanjeev; Chorney, Gail S

doi:10.1097/01.bot.0000177389.43178.e2

Cited by 19 publications

(20 citation statements)

References 25 publications

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“…These were all classified as an Monteggia type I equivalent or type I Monteggia equivalent variant (Table 1) (15, 17, 30-34). …”

Section: Discussionmentioning

confidence: 99%

“…As seen from the Table 1, Ruchelsman et al (34) (diastasis existed), Olney and Menelaus (15) (focused on treatment results), Caterini (30) reported olecranon fractures associated with radial head dislocation. Carl and Ain (31) reported olecranon and medial epicondyle fracture associated with radial neck fracture.…”

Section: Discussionmentioning

confidence: 99%

“…We agree with Dormans because the using of proximal radio-ulnar joint term is mandatory to define the injury location. Ruchelsman et al (34) presented one case which did not include proximal radio-ulnar joint dislocation but he addressed it just as a radial head dislocation. As in our case the proximal radio- ulnar dislocation did not exist.…”

Section: Discussionmentioning

confidence: 99%

“…So this type of fractures must not be addressed as a Monteggia fracture dislocation. Olney and Menelaus (15), Ruchelman (34), Wiley et al (12), Carl and Ain (31); reported the cases which includes olecranon fractures associated with radial neck fractures. But none of them used the terms of ‘‘diastasis and proximal radioulnar joint dislocation’’.…”

Section: Discussionmentioning

confidence: 99%

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Pediatric Olecranon Fractures Associated With Radial Neck Fractures: Review and Report of Two Cases

Gokkus¹,

Köse²,

Sönmezer³

et al. 2016

Trauma Mon

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IntroductionThe debate regarding the description on classification and nomenclature of the injury which includes olecranon fracture associated with radial neck fractures in children is ongoing. We report two pediatric cases that could not be classified in a Monteggia-equivalents system and were treated with open reduction and k-wire fixation. The aim of this study was to perform a systematic review regarding pediatric radial neck fractures associated with olecranon fractures and presentation of two pediatric cases of olecranon fractures associated with radial neck fractures with radiocapitellar dislocation.Case PresentationTwo boys, aged 7 and 12, came to two separate clinics on the same day after initial injury. On physical examination, the patients’ elbow range of motion was limited and painful. Their upper extremities were intact. Radiographs revealed the radial neck fracture with prominent anterolateral radiocapitellar dislocation of radial head-associated with non-displaced olecranon fracture. Radial neck fracture was reduced easily by pushing posteromedially manually with the finger and secured with two K-wires .The olecranon fracture was visualized and confirmed that it was non-displaced and secured with two k-wires in the first case and one k-wire in the second case. After 2 months of follow-up, both patients had no pain in their elbow and a full functionality with a full range of motion of the elbow. The posterior intraosseous nerve functions were normal.ConclusionsThe fracture of olecranon if it does not extend into the metaphyseal region; it could not fascilitate diastasis of the proximal radioulnar joint and radial head dislocation. So this type of fracture must not be addressed as a Monteggia-fracture dislocation. The description of radioulnar diastasis must be included when this type of injury is to be classified.

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“…These were all classified as an Monteggia type I equivalent or type I Monteggia equivalent variant (Table 1) (15, 17, 30-34). …”

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

See 2 more Smart Citations

Pediatric Olecranon Fractures Associated With Radial Neck Fractures: Review and Report of Two Cases

Gokkus¹,

Köse²,

Sönmezer³

et al. 2016

Trauma Mon

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“…In his classification, Bado introduced equivalent fractures. Study of the literature revealed few cases of equivalent Monteggia lesion [9,[11][12][13][14]. Letts et al [10] presented classification of Monteggia lesion in children.…”

Section: Discussionmentioning

confidence: 99%

Monteggia equivalent fracture associated with Salter I fracture of the radial head

Reina¹,

Laffosse²,

Abbo³

et al. 2012

Journal of Pediatric Orthopaedics B

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Monteggia fracture is an infrequent lesion, which associates ulna fracture and radial head dislocation. Equivalent Monteggia can occur by associated lesions such as olecranon fracture or radial neck or head fracture. We report an unusual case of Monteggia equivalent lesion associating a fracture of the proximal third of the ulnar shaft and a growth plate fracture Salter I of proximal-radial physis and divergent displacement due to a bottle-opener effect of the radial head over the capitellum during trauma. Surgical care consisted of intramedullary pinning of the radial head and fixation by a plate for ulna with a very good outcome.

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Fractures of the Neck of the Radius in Children

Stans¹

2009

Morrey's the Elbow and Its Disorders

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Anterior Dislocation of the Radial Head With Fractures of the Olecranon and Radial Neck in a Young Child

Cited by 19 publications

References 25 publications

Pediatric Olecranon Fractures Associated With Radial Neck Fractures: Review and Report of Two Cases

Pediatric Olecranon Fractures Associated With Radial Neck Fractures: Review and Report of Two Cases

Monteggia equivalent fracture associated with Salter I fracture of the radial head

Fractures of the Neck of the Radius in Children

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