Wrist disarticulation associated with Monteggia fracture

Monsef El Abdi, Jonathan Bassinga

PAMJ. 2015; 21:320. Published 31 Aug 2015 | doi:10.11604/pamj.2015.21.320.6679

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


The Pan African Medical Journal (ISSN: 1937-8688) is a subsidiary of the Pan African Medical Journal. The contents of this journal is intended exclusively for professionals in the medical, paramedical and public health and other health sectors.

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