A 12-year-old boy suffered injuries to his left forearm and elbow in a fall from a bicycle. Radiographs of the left elbow and forearm revealed a type IV Monteggia lesion (Fig. 1). During close manipulation, the greenstick radial fracture became partially displaced. However, length of the ulna and its alignment together with reduction of the radial head were satisfactorily obtained. Thereafter, ...

THE JOURNAL OF BONE AND JOINT SURGERY alternative methods, such as epiphyseodesis by inserting a bone peg (Weiner et al. 1984). The hook-pin has eliminated the risk of lost epiphyseal grip : it cannot slide back and it is retracted in its channel with the growth of the femoral neck. Inserted in a pre-drilled hole there is only minimal trauma to the growth plate ; and as only one pin (inserted u...

There are two varieties of the fracture-dislocation originally described by Monteggia (1814), according to whether the head of the radius is dislocated anteriorly or posteriorly. The anterior variety, which is the more common, has received a prominent place in all text-books on fractures, chiefly on account of the frequency with which the dislocation is overlooked (Speed and Boyd 1940, \\‘atson...

Forty-six children with Monteggia fracture-dislocations have been studied. The circumstances of the accident could rarely be recalled so that the mechanism of injury remains unclear. The study did, however, confirm the importance of conservative management of the injury in children; unlike the adult variety, this gave very satisfactory results. Our review also supports the classification into t...

BACKGROUND Terrible triad injuries consist of a posterior dislocation of the elbow, a coronoid fracture, and a radial head fracture. The coronoid plays a pivotal role as an anterior buttress, yet the optimal management of the coronoid fracture remains unknown. We hypothesize that suture lasso fixation of the coronoid fracture leads to fewer complications and improved outcomes compared with scre...

Background – Monteggia fracture dislocation is proximal ulna fracture with radial head dislocation. We present a rare case of monteggia fracture dislocation Bado type III with ipsilateral distal radius physis injury Salter Harris type II in an eight year old boy. It is to highlight the importance of clinical examination and the need of radiograph one joint above and below the fracture. Case Rep...