Persistent posterior interosseous nerve palsy associated with a chronic type i monteggia fracture-dislocation in a child: A case report and review of the literature

David E. Ruchelsman, Michele Pasqualetto, Andrew E. Price, John A.I. Grossman

Research output: Contribution to journalReview articlepeer-review

13 Scopus citations

Abstract

We present a rare case of persistent complete posterior interosseous nerve palsy associated with a chronic type I Monteggia elbow fracture-dislocation consisting of anterior dislocation of the radial head and malunion of the ulna in an 8-year-old child requiring surgical treatment. Posterior interosseous nerve neuropraxia following acute Monteggia injury patterns about the elbow has been described and is thought to be secondary to traction or direct trauma. The condition typically resolves following successful closed reduction of the radial head. This report describes combined treatment of the nerve and skeletal injury for the chronic type I Monteggia injury. The literature is reviewed, and diagnostic challenges with and treatment options for chronic Monteggia fracture-dislocations in children are discussed.

Original languageEnglish
Pages (from-to)167-172
Number of pages6
JournalHand
Volume4
Issue number2
DOIs
StatePublished - 2009
Externally publishedYes

Keywords

  • Elbow trauma
  • Monteggia fracture-dislocation
  • Pediatric
  • Posterior interosseous nerve palsy
  • Radial head dislocation

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