Irreducible Monteggia fracture: interposed radial nerve and capsule

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Presentation transcript:

Irreducible Monteggia fracture: interposed radial nerve and capsule Cary Tanner, MD, Toby Johnson, MD, Kourosh Kolahi, MD, Lisa Husak, MPH, Nathan Hoekzema, MD JSES Open Access Volume 1, Issue 2, Pages 85-89 (June 2017) DOI: 10.1016/j.jses.2017.06.003 Copyright © 2017 The Authors Terms and Conditions

Figure 1 Segmental Monteggia fracture-dislocation. JSES Open Access 2017 1, 85-89DOI: (10.1016/j.jses.2017.06.003) Copyright © 2017 The Authors Terms and Conditions

Figure 2 Anteroposterior radiograph of elbow, segmental Monteggia fracture-dislocation. JSES Open Access 2017 1, 85-89DOI: (10.1016/j.jses.2017.06.003) Copyright © 2017 The Authors Terms and Conditions

Figure 3 Initial open reduction and internal fixation present on referral. JSES Open Access 2017 1, 85-89DOI: (10.1016/j.jses.2017.06.003) Copyright © 2017 The Authors Terms and Conditions

Figure 4 Initial open reduction and internal fixation present on referral, with radiocapitellar joint subluxed. JSES Open Access 2017 1, 85-89DOI: (10.1016/j.jses.2017.06.003) Copyright © 2017 The Authors Terms and Conditions

Figure 5 Photograph (a) and illustration (b) of the radial nerve and the elbow capsule infolded into the radiocapitellar joint. The pickup points to the indented nerve at the site of the infolded capsule into the radiocapitellar interval. JSES Open Access 2017 1, 85-89DOI: (10.1016/j.jses.2017.06.003) Copyright © 2017 The Authors Terms and Conditions

Figure 6 Illustration of the capsule and radial nerve released from the joint. The Freer points to the soft tissue interposed in the proximal radioulnar joint. JSES Open Access 2017 1, 85-89DOI: (10.1016/j.jses.2017.06.003) Copyright © 2017 The Authors Terms and Conditions

Figure 7 Lateral radiograph demonstrating reduction of the radiocapitellar joint and union of the ulna segmental fracture at 6 months postoperatively. JSES Open Access 2017 1, 85-89DOI: (10.1016/j.jses.2017.06.003) Copyright © 2017 The Authors Terms and Conditions

Figure 8 Anteroposterior radiograph demonstrating reduction of the radiocapitellar joint and union of the ulna segmental fracture at 6 months postoperatively. JSES Open Access 2017 1, 85-89DOI: (10.1016/j.jses.2017.06.003) Copyright © 2017 The Authors Terms and Conditions