Analysis of reports on pediatric Monteggia equivalent lesion (group III)
Case number | Author, y | Age (y), gender (M/F) | Lesion description | Sketch | Management | Outcome | ||
Ulna | Radius | Radiocapitellar joint | ||||||
1 | Fahmy,14 1980 | 5, F | Mid-shaft ulnar fracture | Radial neck fracture and separation | Intact | figure 2-IIIa | OR, Pt (ulna) | Full recovery at 2-mon follow-up |
2 | Fahmy,14 1980 | 2, M | Mid-shaft ulnar fracture | Radial neck fracture and separation | Intact | figure 2-IIIa | CR, OR (redial head) | Limitation of pronation at 3-y follow-up |
3 | Soin et al,15 1995 | 6, F | Mid-shaft ulnar fracture | Radial neck fracture, shaft anteriorly displaced | Intact | figure 2-IIIa | CR | 20° loss of pronation at 6-mon follow-up |
4 | Faundez et al,16 2003 | 6, F | Mid-shaft ulnar fracture | Radial neck fracture, shaft anteriorly displaced | Intact | figure 2-IIIa | CR, Kw (assist reduction), ESIN*2 (ulna+radius) | Good at 6-mon follow-up |
5 | Zrig et al,17 2011 | 6, F | Mid-shaft ulnar fracture,anteriorly angulated | Radial neck fracture | Intact | figure 2-IIIa | CR | Good at 10-y follow-up |
6 | Reina et al,18 2012 | 13, M | Proximal third ulnar fracture | Radial neck fracture | Intact | figure 2-IIIb | OR; plate (ulna), ESIN (radial neck) | Good at 4-y follow-up |
CR, closed reduction; ESIN, elastic stable intramedullary nailing; F, female; Kw, K-wire; M, male; OR, open reduction; Pt, plate; Sw, screw.