Late equivalent Monteggia injury in a 6-year-old girl: a case report

  • Laura Pino Almero Hospital Clínico Universitario de Valencia España http://orcid.org/0000-0002-7235-9288
  • M Fe Mínguez Rey Servicio de Cirugía Ortopédica y Traumatología. Hospital Clínico Universitario de Valencia. España Departamento de Cirugía. Facultad de Medicina. Universidad de Valencia. España
  • Elena Morante Rodríguez Servicio de Cirugía Ortopédica y Traumatología. Hospital de la Plana. Castellón. España
  • Salvador Sentamans Segarra Facultad de Enfermería. Universidad Católica de Valencia.
  • Francisco Gomar Sancho Servicio de Cirugía Ortopédica y Traumatología. Hospital Clínico Universitario de Valencia. España Departamento de Cirugía. Facultad de Medicina. Universidad de Valencia. España
Keywords: Monteggia fracture, osteotomy, child.

Abstract

Monteggia injuries in children can be missed easily, especially the equivalent variants. Early diagnosis and treatment are important to prevent chronicity of the injury, because treatment is controversial and it can cause serious complications. A rare case of Monteggia equivalent lesion in a 6-year-old girl is presented. It consists of a plastic deformity of the proximal ulna with posterolateral displacement of radio head. Patient was successfully treated with a closed reduction of radial head and a dorsal closing-wedge osteotomy (2 mm wedge) of the proximal ulna, one month after injury, with good results.

Author Biographies

Laura Pino Almero, Hospital Clínico Universitario de Valencia España
Facultativo Espacialista en la Unidad de Cirugía Ortopédica y Traumatología Infantil del Hospital Clínico Universitario de Valencia (España). Médico Adjunto.
M Fe Mínguez Rey, Servicio de Cirugía Ortopédica y Traumatología. Hospital Clínico Universitario de Valencia. España Departamento de Cirugía. Facultad de Medicina. Universidad de Valencia. España
Jefe de Sección de la Unidad de Cirugía Ortopédica y Traumatología Infantil del hospital Clínico Universitario de Valencia.
Elena Morante Rodríguez, Servicio de Cirugía Ortopédica y Traumatología. Hospital de la Plana. Castellón. España
Médico Adjunto del servicio de Cirugía Ortopédica y Traumatología del hospital de la Plana
Salvador Sentamans Segarra, Facultad de Enfermería. Universidad Católica de Valencia.
Graduado en Enfermería en la Facultad de Enfemería de la Universidad Católica de Valencia
Francisco Gomar Sancho, Servicio de Cirugía Ortopédica y Traumatología. Hospital Clínico Universitario de Valencia. España Departamento de Cirugía. Facultad de Medicina. Universidad de Valencia. España
Jefe de Servicio de Cirugía Ortopédica y Traumatología del Hospital Clínica de Valencia

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Published
2016-08-31
Section
Presentación de Casos