Wrist disarticulation associated with Monteggia fracture

Wrist disarticulation associated with Monteggia fracture

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A 50-year-old man, right-handed farmer, was admitted to the emergency department after undergoing an agriculture accident.Physical examination on admission revealed a left Television wrist disarticulation with a deformity of the ipsilateral elbow and forearm (A and B).Plain radiography showed a fracture of the ulna shaft as well as dislocation of the radial head.This radiological finding, also Bread called Monteggia fracture-dislocation, was associated with a radiocarpal amputation of wrist-joint (C and D).Monteggia fracture-dislocation with wrist amputation is an uncommon condition.

The patient was treated successfully with closed reduction of the elbow dislocation and internal fixation of the ulna fracture.The evolution was satisfactory.