Type III monteggia equivalent injury with compartment syndrome in an 8 year old child: A case report

Anshuman, Rahul; Aggarwal, Aditya; Pandey, Rahul; Mishra, Puneet; Yeptho, Puloto; Raj, Rahul

doi:10.1016/j.jcot.2018.07.018

Cited by 3 publications

(1 citation statement)

References 13 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Monteggia equivalents remain controversial and are repeatedly criticized in literature. Some authors are trying to redefine them 3,13-17 while others do not mention them at all. 12,18-21 Based on our clinical experience, the only Monteggia equivalent is a fracture of the ulna in any level conjoined with fracture of the proximal radius (metaphyseal or physeal injury).…”

Section: Discussionmentioning

confidence: 99%

Monteggia lesion and its equivalents in children

Cepelik

Pešl

Hendrych

et al. 2019

Journal of Children's Orthopaedics

View full text Add to dashboard Cite

Purpose The aim of the study is to evaluate our group of paediatric patients with Monteggia lesion and its equivalents and to compare the characteristics of basic types of these lesions concerning therapeutic approach and results of the treatment. Methods Retrospective study of 111 children treated in the Department of Pediatric and Trauma Surgery of the Thomayer Hospital in Prague between 2001 and 2013 (13 years). When evaluating the outcome of the therapy, Bruce’s criteria modified by Letts that assesses range of movement, pain and deformity of the elbow joint were applied. Regarding the therapeutic approach, four groups were compared: nonoperative treatment, reduction and casting, closed reduction and internal fixation (CRIF) and opened reduction and internal fixation (ORIF). Results were compared between three groups of patients (Monteggia lesions, displaced equivalents and non-displaced equivalents) using Fisher´s exact test with α set to 0.05. Results In all, 46 patients were treated for (true) Monteggia lesion, 27 for non-displaced Monteggia equivalent and 38 for displaced equivalent. There is a statistically significant difference in therapeutic approach between all three groups of patients. There is no significant difference in outcome between Monteggia lesions and both types of Monteggia equivalents, but there is a statistically significant difference between displaced and non-displaced equivalents. Conclusion There are only two lesions that meet the criteria of Monteggia – (true) Monteggia lesion and displaced Monteggia equivalent. The non-displaced equivalent does not meet the criteria of Monteggia and, therefore, should not be termed a Monteggia equivalent. Level of Evidence Level III – Retrospective comparative study

show abstract

Section: Discussionmentioning

confidence: 99%

Monteggia lesion and its equivalents in children

Cepelik

Pešl

Hendrych

et al. 2019

Journal of Children's Orthopaedics

View full text Add to dashboard Cite

show abstract

A rare type III Monteggia equivalent lesion in an eight-year-old girl: A case report and literature review

Eraghi¹,

Taheri²,

Cheraghiloohesara³

et al. 2022

Journal of Orthopaedic Reports

View full text Add to dashboard Cite

Etiology of trauma-related acute compartment syndrome of the forearm: a systematic review

et al. 2022

View full text Add to dashboard Cite

Objectives Acute compartment syndrome (ACS) can be caused by multiple causes that affect people of different ages. It is considered an orthopedic emergency condition that requires immediate diagnosis and surgical intervention to avoid devastating complications and irreversible damages. This systematic review aimed to present the etiology of trauma-related forearm ACS. Methods A systematic review was performed on four different databases: Embase, Medline, Cochrane Central Register of Controlled Trials (CENTRAL) and Cochrane Database of systematic review register databases via Ovid, with no restriction on dates (last date was June 30, 2021). It included all the studies containing data about the etiology of trauma-related forearm ACS. Results A total of 4893 articles were retrieved: 122 met the inclusion criteria, 39 were excluded, 25 were out of scope and 14 had insufficient details. Hence, this review constituted 83 articles and 684 patients. The etiology of ACS causing forearm ACS was classified into three groups: fracture-related, soft tissue injury-related and vascular injury-related. The fracture-related group was the most common group (65.4%), followed by soft tissue injury (30.7%), then vascular injuries (3.9%). Furthermore, supracondylar humerus fractures were the most common cause of fractures related to forearm ACS. Blunt traumas were the most common cause of soft tissue injuries-related forearm ACS, and brachial artery injuries were the most common cause of vascular-related forearm ACS. Conclusion Frequent assessment of patients with the most prevalent etiologies of forearm ACS is recommended for early detection of forearm ACS and to save limbs.

show abstract

Type III monteggia equivalent injury with compartment syndrome in an 8 year old child: A case report

Abstract: A rare case of a type III Monteggia fracture equivalent with compartment syndrome is reported here. Literature is very scanty about this rare combination of injuries which we are discussing. Timely intervention can lead to a satisfactory outcome even in these complex injuries.

Cited by 3 publications

References 13 publications

Monteggia lesion and its equivalents in children

Monteggia lesion and its equivalents in children

A rare type III Monteggia equivalent lesion in an eight-year-old girl: A case report and literature review

Etiology of trauma-related acute compartment syndrome of the forearm: a systematic review

Contact Info

Product

Resources

About