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The Journal of Bone and Joint Surgery 78:1252-5 (1996)
© 1996 The Journal of Bone and Joint Surgery, Inc.

Monteggia Lesion in a Child: Variant of a Bado Type-IV Lesion. A Case Report*

NAGESH BHANDARI, M.S.(ORTH){dagger} and PANKAJ JINDAL, M.S.(ORTH){ddagger}, AHMEDABAD, INDIA

Investigation performed at the Department of Orthopaedic Surgery, Ahmedabad Orthopaedic and Medical Center, Ahmedabad


   Introduction
 
Monteggia described a lesion that consisted of a fracture of the proximal third of the ulna and an anterior dislocation of the proximal end of the radius1. Bado, in a series of forty patients, found that the fracture and dislocation could be displaced in various directions; he modified the original definition of a Monteggia lesion to "a group of traumatic lesions having in common a dislocation of the radio-humero-ulnar joint, associated with a fracture of the ulna at various levels or with lesions at the wrist."2

This is a case report of a four-year-old boy who sustained a Monteggia fracture-dislocation that was Bado2 type IV. The child had a posterolateral angulation deformity of the fracture of the ulna, posterolateral dislocation of the radial head, and a fracture of the middle third of the radial shaft.


   Case Report
 
A four-year-old boy fell from a height of about ten feet (three meters) and . . . [Full Text of this Article]


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