Monteggia fracture-dislocation: a case report, its’ initial management and review of bado’s classification.

Abdullahi Agaba-Idu Musa

Department of Surgery, Usmanu Danfodiyo University, Teaching, Hospital, Pmb 2370, Sokoto
Nigeria, E-mailagabamusa@yahoo.com

Abstract
Fracture of proximal ulna and dislocation of the proximal radio-ulna joint in the same arm is called Monteggia fracture- dislocation.
Four clinical variants of this fracture- dislocation have been described in literature. This is a report and description of initial management
of a fracture- dislocation, which was consequent to a sideswipe injury and consisted of a combination of the following injuries; lateral
dislocation of the radial head, fractures of the olecranon and proximal ulna in the left forearm. The radial head dislocation and fracture
of the olecranon were open. The head of the radius was exposed through the same wound. This fracture-dislocation resembled type3
Bado’s classification of Monteggia fracture-dislocation because of fracture of the olecranon close to the coronoid process and lateral
dislocation of the head of radius.

Key words:Monteggia fracture- dislocation; initial management; Bado’s classification.