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Published in: Journal of Orthopaedics and Traumatology 1/2014

Open Access 01-03-2014 | Case Report

Divergent elbow dislocation with radial shaft fracture, distal ulnar deformation, and distal radioulnar joint instability: an unclassifiable Monteggia variant

Authors: Joseph L. Laratta, Richard S. Yoon, Matthew A. Frank, Kenneth Koury, Derek J. Donegan, Frank A. Liporace

Published in: Journal of Orthopaedics and Traumatology | Issue 1/2014

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Abstract

Originally described by Monteggia and later classified by Bado, elbow dislocations with concurrent radial and ulnar shaft fractures with distal radioulnar joint (DRUJ) disruption are considered operative cases with high-energy injurious etiologies. Here, we present an unclassifiable Monteggia variant fracture suffered through a high axial load mechanism in a 47-year-old female. The fracture pattern initially exhibited included a divergent elbow dislocation, a radial shaft fracture, plastic deformation of the distal ulna, and DRUJ instability. Here we describe the pattern in detail, along with definitive treatment and clinical outcome at 1 year follow-up.
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Metadata
Title
Divergent elbow dislocation with radial shaft fracture, distal ulnar deformation, and distal radioulnar joint instability: an unclassifiable Monteggia variant
Authors
Joseph L. Laratta
Richard S. Yoon
Matthew A. Frank
Kenneth Koury
Derek J. Donegan
Frank A. Liporace
Publication date
01-03-2014
Publisher
Springer International Publishing
Published in
Journal of Orthopaedics and Traumatology / Issue 1/2014
Print ISSN: 1590-9921
Electronic ISSN: 1590-9999
DOI
https://doi.org/10.1007/s10195-013-0239-x

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