Abstract
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 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 called Monteggia fracture-dislocation, was associated with a radiocarpal amputation of wrist-joint (C and D). Monteggia fracturedislocation 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. Pan African Medical Journal 2015; 21
Highlights
A 50-year-old man, right-handed farmer, was admitted to the emergency department after undergoing an agriculture accident
Plain radiography showed a fracture of the ulna shaft as well as dislocation of the radial head
Pan African Medical Journal – ISSN: 1937- 8688 (www.panafrican-med-journal.com) Published in partnership with the African Field Epidemiology Network (AFENET)
Summary
Monsef El Abdi1,&, Jonathan Bassinga1 1Department of Orthopaedic Surgery «1», Military Hospital of Instruction Mohammed V, Rabat, Morocco &Corresponding author: Monsef El Abdi, Department of Orthopaedic Surgery «1», Military Hospital of Instruction Mohammed V, Rabat, Morocco Key words: Monteggia fracture, wrist disarticulation, ipsilateral elbow Received: 28/03/2015 - Accepted: 22/06/2015 - Published: 31/08/2015 This article is available online at: http://www.panafrican-med-journal.com/content/article/21/320/full/
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