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Shoulder Elbow. 2017 Jan;9(1):42-45. doi: 10.1177/1758573216673527. Epub 2016 Oct 13.

Ulnohumeral dislocation despite intact radiocapitellar joint: a rare Monteggia variant.

Shoulder & elbow

Carl Ekholm, Johan Sampson

Affiliations

  1. Department of Orthopaedics, Sahlgrenska University Hospital, Göteborg, Sweden.

PMID: 28572849 PMCID: PMC5441618 DOI: 10.1177/1758573216673527

Abstract

We treated one patient with a mid-diaphyseal radius fracture and concomitant anteromedial facet fracture of the coronoid. The ulnohumeral joint was severely unstable by complete ligament detachment and interosseous membrane rupture. Despite this gross instability, the radiocapitellar was congruent and stable. The possible mechanism of radiocapitellar stability is discussed and the concept of concavity-compression stability across the radiocapitellar joint is emphasized.

Keywords: Monteggia variant; concavity compression; elbow posteromedial instability; radiocapitellar

References

  1. J Pediatr Orthop. 2005 May-Jun;25(3):317-21 - PubMed
  2. Clin Orthop Relat Res. 1992 Jul;(280):186-97 - PubMed
  3. J Shoulder Elbow Surg. 2012 Jun;21(6):789-94 - PubMed
  4. J Shoulder Elbow Surg. 2011 Sep;20(6):885-90 - PubMed
  5. J Hand Surg Am. 2013 Mar;38(3):488-94 - PubMed
  6. J Bone Joint Surg Am. 2006 Oct;88(10):2216-24 - PubMed
  7. Strategies Trauma Limb Reconstr. 2011 Aug;6(2):97-101 - PubMed
  8. J Hand Surg Am. 2006 Jan;31(1):17-21 - PubMed
  9. J Trauma. 2008 Jan;64(1):221-4 - PubMed
  10. Instr Course Lect. 2003;52:113-34 - PubMed
  11. J Orthop Traumatol. 2014 Mar;15(1):63-7 - PubMed
  12. Injury. 1984 May;15(6):390-2 - PubMed
  13. J Trauma. 1995 Jun;38(6):944-6 - PubMed

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