CT at wrist showed minimally displaced intra-articular distal radius fracture with dorsal comminution with distal radioulnar joint disruption. Computed Tomography (CT) showed clear fracture pattern with comminution at radial head with large radial head fragment lying at back of capitellum with undisplaced coronoid fracture. Wrist radiography showed distal radius intra-articular fracture with distal radioulnar joint disruption (Frykmans type V) with old malunited distal radius fracture. Radiography showed displaced and comminuted olecronon fracture with radial head fracture dislocation. Patient was admitted and above elbow plaster of paris slab was applied. There were no injuries in the other parts of the body. ![]() There were no distal neurovascular deficits. On examination, patient was right hand dominant with swelling, deformity and tenderness over left elbow and wrist with no external skin injuries or bruises. Past history showed old malunited distal radius fracture nine months back which was managed with local native bandages. There were no injuries in other parts of body. Functional outcome at six months was good at wrist whereas at elbow, stiffness was a major concern with elbow range of movement from 40°-110°.Ī 60-year-old female was brought to our hospital casualty with left upper limb supported in a sling with history of injury to elbow and wrist following fall in the bathroom. ![]() Management of such complex injuries included open reduction and internal fixation of olecronon fracture, distal radius fracture and radial head resection. This case report also highlights on proper examination and full length radiographs of forearm to avoid missing injury at wrist in cases of elbow injuries. Hereby we report a rare association of type IIA Monteggia fracture dislocation with ipsilateral distal radius fracture in an adult patient. The associated injury in the form of distal radial fractures and distal humerus fractures are rare though many cases of distal radial physeal injuries have been reported in paediatric population. Bado classified Monteggia fracture dislocation into four types and Jupiter subclassified type II Bado’s fractures into four types. Monteggia fracture by definition is proximal ulnar fracture with disruption of proximal radioulnar joint. Monteggia fracture constitutes about 5-10% of the forearm fractures.
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