Reconstruction of a Chronic Monteggia Fracture With Associated Radioulnar Synostosis
Jason A. Stein, MD, and Anand M. Murthi, MD
Dr. Stein is Assistant Professor, Shoulder and Elbow Service, and Dr. Murthi is Assistant Professor and Chief, Shoulder and Elbow Surgery, Shoulder and Elbow Service, Department of Orthopaedics, University of Maryland School of Medicine, Baltimore, Maryland.
Patients with multiple traumatic injuries can be difficult to treat, especially when a head injury is involved. In these cases, orthopedic injuries can be missed or ignored. In patients who recover, the orthopedic injuries can be more difficult to manage at a later date. We report the case of a patient whose Monteggia fracture was unmanaged while his head injury was addressed, resulting in a malunited ulna, chronically dislocated radial head, and radioulnar synostosis.