Ipsilateral Monteggia fracture dislocation with volar lunate dislocation of wrist: a case report

Combined Radiocarpal Dislocation and Forearm Joint Injuries: A Proposed Modification of the Locker-Based Classification System

“…Gul et al described the combination of a Monteggia fracture and a volar dislocation of the lunate bone. Manual open reduction of the lunate bone was carried out, and the wrist was temporarily stabilized with K wires [ 8 ]. Stahl and Freiman described simultaneous combinations of Monteggia fractures and scaphoid fractures [ 9 ].…”

Clinical usefulness of proximal ulnar and radial fracture-dislocation comprehensive classification system (PURCCS): prospective study of 39 cases

“…In 2 of the 39 cases, the fluoroscopic evaluation revealed the involvement of the distal radioulnar joint and interosseous membrane, thereby confirming that such lesions may, on rare occasions, be associated with proximal ulna and radius fractures. 11,18,21 These 2 patients presented a synthesizable radial head fracture that was treated in both cases with screws. The reconstruction of the radial head was sufficient to achieve forearm longitudinal stability, with no further treatment of the wrist being required; at the final follow-up, they obtained an excellent result.…”

Complex fracture-dislocations of the proximal ulna and radius in adults: a comprehensive classification

“…32,37,39,43,46 Moreover, elbow, forearm, and wrist lesions are frequently associated and represent a continuum of injuries manifested in several types of different fracture patterns. 11,18,21,42,43 Despite the significant progress that has occurred during the past decade, definite guidelines on the most appropriate treatments are not reported, and these lesions are still burdened by a high rate of poor results and complications. 5,11,17,41,43 Several investigations have shown that the percentage of unsatisfactory results and revision surgeries ranges between 33% and 44% and between 26% and 55%, respectively.…”

“…18,21 An interosseous membrane tear should also be considered because this injury is often associated with DRUJ dislocation and radial head fractures, as described by Essex-Lopresti. 14 It has been shown that the primary restraint against proximal migration of the radius is that of the radius abutting the capitellum.…”