Wrist disarticulation associated with Monteggia fracture
Monsef El Abdi, Jonathan Bassinga
The Pan African Medical Journal. 2015;21:320. doi:10.11604/pamj.2015.21.320.6679

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Wrist disarticulation associated with Monteggia fracture

Cite this: The Pan African Medical Journal. 2015;21:320. doi:10.11604/pamj.2015.21.320.6679

Received: 28/03/2015 - Accepted: 22/06/2015 - Published: 31/08/2015

Key words: Monteggia fracture, wrist disarticulation, ipsilateral elbow

© Monsef El Abdi et al. The Pan African Medical Journal - ISSN 1937-8688. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Available online at: http://www.panafrican-med-journal.com/content/article/21/320/full

Corresponding author: Monsef El Abdi, Department of Orthopaedic Surgery «1», Military Hospital of Instruction Mohammed V, Rabat, Morocco (elabdimonsef@gmail.com)


Wrist disarticulation associated with Monteggia fracture

 

Monsef El Abdi1,&, Jonathan Bassinga1

 

1Department of Orthopaedic Surgery «1», Military Hospital of Instruction Mohammed V, Rabat, Morocco

 

 

&Corresponding author
Monsef El Abdi, Department of Orthopaedic Surgery «1», Military Hospital of Instruction Mohammed V, Rabat, Morocco

 

 

Image in medicine

A 50-year-old man, right-handed farmer, was admitted to the emergency department after undergoing an agriculture accident. Physical examination on admission revealed a left wrist disarticulation with a deformity of the ipsilateral elbow and forearm (A and B). Plain radiography showed a fracture of the ulna shaft as well as dislocation of the radial head. This radiological finding, also called Monteggia fracture-dislocation, was associated with a radiocarpal amputation of wrist-joint (C and D). Monteggia fracture-dislocation with wrist amputation is an uncommon condition. The patient was treated successfully with closed reduction of the elbow dislocation and internal fixation of the ulna fracture. The evolution was satisfactory.

 

 

Figure 1: (A and B) clinical features in patient at admission showing wrist disarticulation with a deformition of the elbow and forearm; (C and D) radiography objectified a Monteggia fracture-dislocation with a radiocarpal amputation of wrist-joint

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 


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ISSN: 1937-8688. © 2017 - Pan African Medical Journal. All rights reserved