One week old fracture in 8 year old child.
Options ?
Options ?
Pedro Jorba Monteggia fracture. Reduction of the ulna under anesthesia, which should reduce the radial head. If not, open reduction of both.
Pravin Kanabar Is it Montegia fracture dislocation. We must have a true A.P. and lateral views of elbow.
Shivendra Sinha attempt closed reduction for both radial head and ulna under c-arm by manual traction and counter traction
- Pedro Jorba I agree that it would be desirable to see a lateral elbow, but the diagnosis of Monteggia can be made with the available images; the radial head is clearly dislocated in the first photo
Gopal Goel This is GS # ulna . Needs Osteoclasis under GA and Cast immobilization. There is no radial head dislocation as can be judged by its relation to capitullum which is constant- Pedro Jorba The radial axis doesn’t intersect the center of the capitellar nucleus; it’s a Monteggia
Tapas Talukdar Paediatric Monteggia/ Montrggia equovalent. Close reduction and k wire. k wire should pierce the cortex of distal fragment. No need to reconstruct annular lig. Radial head will reduce spontaniously.
