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Anterior Radial Head Dislocation Associated with a Bifocal Fracture of the Ulna: A Bado Type ID Monteggia Fracture–Dislocation?

Year: 2025

Type: article

Abstract: Monteggia fractures represent complex injuries requiring careful assessment and surgical intervention. This case report presents a rare variation of a Bado type I Monteggia fracture-dislocation that resembles features from the Jupiter subclassification type IID. A 39-year-old male sustained a high-energy injury while riding an all-terrain vehicle, resulting in a proximal segmental ulnar shaft fracture with anterior radial head dislocation. Open reduction and internal fixation (ORIF) of the ulna using a pre-contoured proximal ulna low-contact dynamic compression plate (LC-DCP) successfully restored alignment, leading to spontaneous reduction of the radial head. The postoperative course was uneventful, with satisfactory healing and functional recovery. This case underscores the importance of meticulous ulnar reconstruction in Monteggia fracture-dislocations and contributes to the limited literature on anterior radial head dislocation patterns.

Source: Life

DOI: 10.3390/life15040637

Author: Flaviu Moldovan

Institution: Universitatea de Medicină, Farmacie, Științe și Tehnologie „George Emil Palade” din Târgu Mureș

Language: English

Topic: Elbow and Forearm Trauma Treatment

Subfield: Rehabilitation

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: gold

Estimated APC paid: $3,137