Adult Bado type I Monteggia fracture dislocation: A case report
Introduction: Fractures of the proximal ulnar shaft accompanied by dislocation of the radial head have been described as “Monteggia fracture-dislocations,” since the early nineteenth century. In 1967 Bado further classified these Monteggia fractures into four subtypes, based largely on the direction...
| Main Authors: | , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Elsevier
2021-12-01
|
| Series: | Trauma Case Reports |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2352644021001461 |
| _version_ | 1818723481612713984 |
|---|---|
| author | Ashley Cohen Camille Talwar Jason Magnani John Wahhab |
| author_facet | Ashley Cohen Camille Talwar Jason Magnani John Wahhab |
| author_sort | Ashley Cohen |
| collection | DOAJ |
| description | Introduction: Fractures of the proximal ulnar shaft accompanied by dislocation of the radial head have been described as “Monteggia fracture-dislocations,” since the early nineteenth century. In 1967 Bado further classified these Monteggia fractures into four subtypes, based largely on the direction of the radial head dislocation (Bado, 1967). Despite being frequently discussed in the literature, Monteggia fracture dislocations are rare and represent only 0.7% of elbow fracture-dislocations in adults (Papaioannou et al., 2018). In adults, Bado type I lesions, where the radial head is displaced anteriorly are rarer still, and few cases have been reported in the literature (Papaioannou et al., 2018; Suarez et al., 2016; Egol et al., 2005; Saidi et al., 2018; Wong et al., 2015). Case presentation: We present here the case of a 55-year-old male presenting with a Bado type I Monteggia fracture dislocation, resulting from direct trauma to the posterior ulnar surface of his arm. He was treated with ORIF five days after the injury, and by hospital discharge had had 75% active range of motion of his elbow to flexion and extension. Conclusion: We present this case of a rare adult fracture subtype with a unique mechanism to add to a paucity of existing literature on such cases and the approach to their care. These fracture-dislocations can be easy to miss because the radial dislocation can be subtle and overshadowed by the more obvious ulnar fracture. This case report hopes to contribute to the expedient recognition of this fracture dislocation syndrome, which is crucial to the preservation of range of motion and arm function for these patients. |
| first_indexed | 2024-12-17T21:11:13Z |
| format | Article |
| id | doaj.art-a890287ffa6645e998126e5cd1806a28 |
| institution | Directory Open Access Journal |
| issn | 2352-6440 |
| language | English |
| last_indexed | 2024-12-17T21:11:13Z |
| publishDate | 2021-12-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Trauma Case Reports |
| spelling | doaj.art-a890287ffa6645e998126e5cd1806a282022-12-21T21:32:27ZengElsevierTrauma Case Reports2352-64402021-12-0136100541Adult Bado type I Monteggia fracture dislocation: A case reportAshley Cohen0Camille Talwar1Jason Magnani2John Wahhab3University of Michigan Medicine, Department of Emergency Medicine, 1500 E. Medical Center Dr., B1-380 Taubman Center, Ann Arbor, MI 48109, United States of AmericaChicago Medical School at Rosalind Franklin University of Medicine and Science, 3333 Green Bay Rd, North Chicago, IL 60064, United States of America; Corresponding author.Orthopedic Surgery, Holy Cross Hospital, Chicago, IL, United States of AmericaEmergency Medicine, Chicago Medical School at Rosalind Franklin University of Medicine and Science, Emergency Medicine, Holy Cross Hospital, Chicago, IL, United States of AmericaIntroduction: Fractures of the proximal ulnar shaft accompanied by dislocation of the radial head have been described as “Monteggia fracture-dislocations,” since the early nineteenth century. In 1967 Bado further classified these Monteggia fractures into four subtypes, based largely on the direction of the radial head dislocation (Bado, 1967). Despite being frequently discussed in the literature, Monteggia fracture dislocations are rare and represent only 0.7% of elbow fracture-dislocations in adults (Papaioannou et al., 2018). In adults, Bado type I lesions, where the radial head is displaced anteriorly are rarer still, and few cases have been reported in the literature (Papaioannou et al., 2018; Suarez et al., 2016; Egol et al., 2005; Saidi et al., 2018; Wong et al., 2015). Case presentation: We present here the case of a 55-year-old male presenting with a Bado type I Monteggia fracture dislocation, resulting from direct trauma to the posterior ulnar surface of his arm. He was treated with ORIF five days after the injury, and by hospital discharge had had 75% active range of motion of his elbow to flexion and extension. Conclusion: We present this case of a rare adult fracture subtype with a unique mechanism to add to a paucity of existing literature on such cases and the approach to their care. These fracture-dislocations can be easy to miss because the radial dislocation can be subtle and overshadowed by the more obvious ulnar fracture. This case report hopes to contribute to the expedient recognition of this fracture dislocation syndrome, which is crucial to the preservation of range of motion and arm function for these patients.http://www.sciencedirect.com/science/article/pii/S2352644021001461MonteggiaBadoFractureTraumaOrthopedicsEmergency medicine |
| spellingShingle | Ashley Cohen Camille Talwar Jason Magnani John Wahhab Adult Bado type I Monteggia fracture dislocation: A case report Trauma Case Reports Monteggia Bado Fracture Trauma Orthopedics Emergency medicine |
| title | Adult Bado type I Monteggia fracture dislocation: A case report |
| title_full | Adult Bado type I Monteggia fracture dislocation: A case report |
| title_fullStr | Adult Bado type I Monteggia fracture dislocation: A case report |
| title_full_unstemmed | Adult Bado type I Monteggia fracture dislocation: A case report |
| title_short | Adult Bado type I Monteggia fracture dislocation: A case report |
| title_sort | adult bado type i monteggia fracture dislocation a case report |
| topic | Monteggia Bado Fracture Trauma Orthopedics Emergency medicine |
| url | http://www.sciencedirect.com/science/article/pii/S2352644021001461 |
| work_keys_str_mv | AT ashleycohen adultbadotypeimonteggiafracturedislocationacasereport AT camilletalwar adultbadotypeimonteggiafracturedislocationacasereport AT jasonmagnani adultbadotypeimonteggiafracturedislocationacasereport AT johnwahhab adultbadotypeimonteggiafracturedislocationacasereport |