Analysis of reports on pediatric Monteggia equivalent lesion (group II)
Case number | Author, y | Age (y), gender (M/F) | Lesion description | Sketch | Management | Outcome | ||
Ulna | Radius | Radiocapitellar joint | ||||||
1 | Kamali,10 1974 | 5, F | Proximal third ulnar fracture | Radial neck fracture, head medially and posteriorly displaced | Posteriorly dislocated | figure 2-IIc | CR, OR, Kw (through radiocapitellar joint) | Slight limitation of supination at 3-mon follow-up |
2 | Heinrich and Butler,11 2007 | 11, M | Ulnar posteriorly bowing | Radial head fracture | Chronic posteriorly dislocated | figure 2-IId | OR, Sw (radial head), Pt (Ulnar wedge Osteotomy) | Good at 3-y follow-up |
3 | Sur et al,12 2010 | 12, F | Proximal third ulnar fracture,undisplaced | Radial neck fracture, posteriorly rotated | Posteriorly dislocated; Chronic radial shaft posteriorly translocated | figure 2-IIb | CR, OR, reconstruction surgery | Fair at 9-mon follow-up |
4 | Clark et al,13 2017 | 5,F | Mid-shaft ulnar fracture, anteriorly angulated | Radial neck fracture (delayed diagnosis), shaft anteriorly displaced | Posteriorly dislocated | figure 2-IIa | CR, Kw (ulna); CT; OR, Kw (radial neck) | Good at 4-wk follow-up |
CR, closed reduction; ESIN, elastic stable intramedullary nailing; F, female; Kw, K-wire; M, male; OR, open reduction; Pt, plate; Sw, screw.