Pediatric Monteggia Equivalent Type I Fracture

Monteggia fracture is a term used to describe a proximal ulna fracture accompanied by radial head dislocation. However in pediatrics, the incidence is rare and misdiagnosis as both of them alone occurs often. In our case, 6 - year - old boy was visited to the emergency medical care center because of pain in his right elbow which had broke out after slipping down from a 70cm - high - block. On intial simple radiography, we noted an elbow sprain , that proved to be a misdiagnosis later and, we applied a long arm splint. After discharge, pain was lasted especially at the moment of supination and pronation of the wrist joint, so that led revisit. At the radiologic studies, ulnar bow sign was shown, and pediatric Monteggia equivalent type I fracture was diagnosed. On the result of the diagnosis, open reduction was performed after trying C - arm intensifier assisted closed reduction. The patient is followed up at outpatient clinic. There is no complicati on on range of motion or change on the morphology. Therefore, bewaring of not over looking Monteggia fracture on patient of ulnar fracture or radial head dislocation on pediatrics.