Monteggia Equivalents: Report of a New Variant of Type I - Salter Harris Type One Injury to Proximal Radius Physis and Olecronon Fracture

Ntroduction: Monteggia fracture dislocation in a child is relatively uncommon injury consisting approximately 1.5% – 3% of the elbow injuries in the childhood. Case Presentation: A unique case of a type 1 Monteggia fracture equivalent Fracture of olecronon with Salter - Harris type I physeal injury to proxim al radius physis with in a child is reported. We describe the management of this unique fracture and discuss mechanism of injury. Conclusion: This case is a rare combination of injuries. Early recognition and prompt surgical intervention can lead to a sati sfactory outcome even in these complex injuries. Fracture of olecronon with Salter - Harris type I physeal injury to proximal radius physis should be included in the current type I Monteggia equivalents. Key Message: The universal principle of examining one joint above and below and including both joints when taking radiographs for suspected long bone fractures must always be followed.