Saidi Aymen, Hassini Lassaad, Othmen Youcef, Fekih Aymen, Allagui Mohamed, Aloui Issam, Abid Abderrazek
Department of Orthopaedic Surgery, University Hospital, Monastir 5000, Tunisia.
Pan Afr Med J. 2018 Apr 18;29:216. doi: 10.11604/pamj.2018.29.216.12996. eCollection 2018.
Monteggia described a fracture of the proximal third of the ulna with anterior dislocation of the radial head from both the proximal radioulnar and radiocapitellar joints. The key treatment principle in Monteggia fractures is stable anatomic alignment of the ulna. We present an uncommon case of a Monteggia fracture-dislocation with an unreducable anterior dislocation of the radial head and associated with a lesion of the lateral collateral ligament of the elbow. The patient in our report had a successful clinical outcome and functional range of motion after rigid fixation of the ulnar shaft fracture and exploration of the elbow joint, reduction of the radial head and repair of the lateral collateral ligament. This case is unusual because of the association of a complete tear of the external collateral ligament of the elbow.
蒙特吉亚描述了尺骨近端三分之一骨折合并桡骨头从近端桡尺关节和桡骨小头关节向前脱位。蒙特吉亚骨折的关键治疗原则是尺骨的稳定解剖复位。我们报告一例罕见的蒙特吉亚骨折脱位病例，其桡骨头前脱位无法复位，并伴有肘关节外侧副韧带损伤。我们报告的患者在尺骨干骨折坚强固定、肘关节探查、桡骨头复位及外侧副韧带修复后，获得了成功的临床结果和功能活动范围。该病例不同寻常之处在于合并了肘关节外侧副韧带的完全撕裂。
