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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?

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


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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