Divergent elbow dislocation with radial shaft fracture, distal ulnar deformation, and distal radioulnar joint instability: an unclassifiable Monteggia variant

J Orthop Traumatol. 2014 Mar;15(1):63-7. doi: 10.1007/s10195-013-0239-x. Epub 2013 Apr 7.


Originally described by Monteggia and later classified by Bado, elbow dislocations with concurrent radial and ulnar shaft fractures with distal radioulnar joint (DRUJ) disruption are considered operative cases with high-energy injurious etiologies. Here, we present an unclassifiable Monteggia variant fracture suffered through a high axial load mechanism in a 47-year-old female. The fracture pattern initially exhibited included a divergent elbow dislocation, a radial shaft fracture, plastic deformation of the distal ulna, and DRUJ instability. Here we describe the pattern in detail, along with definitive treatment and clinical outcome at 1 year follow-up.

Publication types

  • Case Reports

MeSH terms

  • Elbow Injuries
  • Elbow Joint / diagnostic imaging
  • Elbow Joint / surgery
  • Female
  • Follow-Up Studies
  • Fracture Fixation, Internal
  • Humans
  • Imaging, Three-Dimensional
  • Joint Dislocations / classification*
  • Joint Dislocations / diagnostic imaging*
  • Joint Dislocations / surgery
  • Joint Instability / classification*
  • Joint Instability / diagnostic imaging*
  • Joint Instability / surgery
  • Middle Aged
  • Radius / diagnostic imaging
  • Radius / surgery
  • Radius Fractures / classification*
  • Radius Fractures / diagnostic imaging*
  • Radius Fractures / surgery
  • Range of Motion, Articular
  • Tomography, X-Ray Computed
  • Ulna / diagnostic imaging
  • Ulna / surgery
  • Weight-Bearing