The posterior Monteggia: a pathological lesion?

Haddad, Elias; Manktelow, Andrew; Sarkar, Jay

doi:10.1016/0020-1383(95)00187-5

Cited by 10 publications

(2 citation statements)

References 6 publications

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“…The elbow joint is the second most commonly dislocated joint in adults after the shoulder joint [ 1 ]. Usually the mechanism of injury is a fall on an outstretched hand, which leads to disruption of the ligaments and soft tissues around the elbow, which result in loss of the static stabilizers of the ulnohumeral joint [ 1 , 2 ]. Posterior elbow dislocation is associated with other injuries in around 10–15% of cases, radial head fracture being one of them [ 1 ].…”

Section: Introductionmentioning

confidence: 99%

Multiple Concomitant Injuries in One Upper Extremity: A Case Report

Abutalib

Khoshhal

2016

Am J Case Rep

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Patient: Male, 36Final Diagnosis: Multiple concomitant right upper limb fracturesSymptoms: —Medication: —Clinical Procedure: Open reduction and internal fixation of right upper limb fracturesSpecialty: Orthopedics and TraumatologyObjective:Rare co-existance of disease or pathologyBackground:This report is about unusual multiple upper extremity concomitant injuries in an adult after a fall from a height. To the best of our knowledge this is the first reported case of concomitant ipsilateral occurrence of multiple common injuries, uncommonly occurring together in a single traumatic episode.Case Report:A 36-year-old right-handed man fell through a skylight to the floor about 4 meters below. He presented with multiple concomitant injuries in his right upper extremity: elbow dislocation with radial head fracture associated with distal radius, ulnar styloid, and scaphoid fractures.Conclusions:The probable mechanism of injury along with the surgical treatment of these previously undescribed injuries is discussed to emphasize the need to clinically examine the whole upper extremity in severe injuries. The awareness of such an association for early recognition is paramount for excellent clinical results.

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Section: Introductionmentioning

confidence: 99%

Multiple Concomitant Injuries in One Upper Extremity: A Case Report

Abutalib

Khoshhal

2016

Am J Case Rep

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“…Fractures resulting from lowenergy injuries tended to occur in elderly female patients, whereas those associated with a higher energy were seen in younger, male patients. Some authors have suggested that the posterior Monteggia lesion might be a pathologic injury secondary to long-term corticosteriod therapy [32], while others have suggested that osteoporosis may be a risk factor for posterior Monteggia fractures, as it is more commonly seen among elderly women [6,8,23,24].…”

Section: Mechanism Of Injurymentioning

confidence: 99%