TY - JOUR
T1 - Persistent posterior interosseous nerve palsy associated with a chronic type i monteggia fracture-dislocation in a child
T2 - A case report and review of the literature
AU - Ruchelsman, David E.
AU - Pasqualetto, Michele
AU - Price, Andrew E.
AU - Grossman, John A.I.
PY - 2009
Y1 - 2009
N2 - 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.
AB - 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.
KW - Elbow trauma
KW - Monteggia fracture-dislocation
KW - Pediatric
KW - Posterior interosseous nerve palsy
KW - Radial head dislocation
UR - http://www.scopus.com/inward/record.url?scp=67349087463&partnerID=8YFLogxK
U2 - 10.1007/s11552-008-9152-9
DO - 10.1007/s11552-008-9152-9
M3 - Review article
AN - SCOPUS:67349087463
SN - 1558-9447
VL - 4
SP - 167
EP - 172
JO - Hand
JF - Hand
IS - 2
ER -