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Case Reports in Orthopedics
Volume 2016, Article ID 8598139, 5 pages
http://dx.doi.org/10.1155/2016/8598139
Case Report

An Undescribed Monteggia Type 3 Equivalent Lesion: Lateral Dislocation of Radial Head with Both-Bone Forearm Fracture

1Department of Orthopaedics and Traumatology, Istanbul Medipol University School of Medicine, Bagcilar, 34214 Istanbul, Turkey
2Department of Orthopaedics and Traumatology, Istanbul University Cerrahpasa Faculty of Medicine, Fatih, 34098 Istanbul, Turkey

Received 1 November 2015; Accepted 6 March 2016

Academic Editor: William B. Rodgers

Copyright © 2016 Adnan Kara et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Monteggia fractures are accepted as hard-to-recognize and easy-to-handle fractures. Adequate radiographic investigations and clinical examinations are necessities. This case holds unique features involving diagnosis and treatment. In this case, the radial head was dislocated laterally while both bones were fractured in the proximal diaphysis, being the first to be mentioned in the literature. Closed reduction of the ulna is the preferred method of handling and almost always results in reduction of the radial head. Literature obligates ulnar reduction as a preliminary to reduce and stabilize the radial head. Closed reduction reduced the ulna but the radial head was not reduced. Hence an intramedullary K-wire was used to reduce the radial head and a long arm cast was used to stabilize the reduction. The operation was successful and follow-up showed no complications.