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Case Rep Surg. 2014;2014:723756. doi: 10.1155/2014/723756. Epub 2014 Mar 17.

Medial radial head dislocation associated with a proximal olecranon fracture: a bado type v?

Author information

1
The Catterall Unit, Royal National Orthopaedic Hospital, Brockley Hill, Stanmore, Middlesex HA7 4LP, UK.
2
School of Public Health, Harvard University, 677 Huntington Avenue, Boston, MA 02115 6018, USA.
3
The Royal London Hospital, Whitechapel Road, London E1 1BB, UK.

Abstract

The Monteggia fracture is relatively rare. We present an unreported configuration of a traumatic olecranon fracture with a concomitant medial radial head dislocation in a 3-year-old male. This injury was initially missed and required a subsequent operative intervention. Following surgery, there was evident fracture union, articular congruency, and a full functional recovery. Medial radial head dislocation is not accounted for in the Bado (1967) classification of the Monteggia lesion and hence we propose the addition of a Bado V category.

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