Paediatric chronic Monteggia Bado III fracture: how to avoid and treat
Abstract
Paediatric Monteggia fracture is misdiagnosed in 28% of cases, with possible functional impairment in delayed diagnosis. Assessment of the radiocapitellar alignment on both anteroposterior and lateral views of the elbow is imperative, especially when an apparently isolated ulnar fracture is present. Although Bado I injuries are the most common and diagnosed on lateral radiographs, type III injuries often go unnoticed due to inadequate examination of the anteroposterior view. We present a case of a 6-year-old female patient with a neglected Monteggia fracture (Bado III). The patient underwent surgery 10 months after initial trauma, involving open reduction of the radial head, repair of the annular ligament, and proximal ulnar osteotomy. At 1 year follow-up, the patient achieved a QuickDASH of 0. This case highlights the importance of early recognition and appropriate imaging evaluation, while demonstrating that satisfactory outcomes can be achieved in chronic cases with proper surgical management.
Related
- Is the annular ligament disrupted in Monteggia fracture–dislocations? A cadaveric mechanistic study
- Paediatric fracture complications following traditional bone setting in low- and middle-income countries: a systematic review and meta-analysis protocol
- Paediatric chronic hepatitis C and the global elimination gap: burden and trends from 1990 to 2023 in the Global Burden of Disease Study 2023
- Histopathology Versus Imaging: A Comparative Study of Liver Biopsy, Ultrasonography, and Triphasic Computed Tomography in Paediatric Patients With Chronic Liver Disease.
- Sleep Disturbances and Health-Related Quality of Life in Paediatric Oncology: A Comparative Study with Non-Oncological Chronic Illness and Healthy Peers.
BibTeX
@article{vaz2026paediatric,
title = {{Paediatric chronic Monteggia Bado III fracture: how to avoid and treat}},
author = {Renata Vaz and Cristina Alves and João Cabral and Marcos Carvalho},
journal = {Journal of Surgical Case Reports},
year = {2026},
month = nov,
doi = {10.1093/jscr/rjag989},
url = {https://doi.org/10.1093/jscr/rjag989},
note = {CC BY-NC 4.0},
}
RIS
TY - JOUR
TI - Paediatric chronic Monteggia Bado III fracture: how to avoid and treat
AU - Renata Vaz
AU - Cristina Alves
AU - João Cabral
AU - Marcos Carvalho
PY - 2026
DA - 2026/11/04
JO - Journal of Surgical Case Reports
DO - 10.1093/jscr/rjag989
UR - https://doi.org/10.1093/jscr/rjag989
AB - Paediatric Monteggia fracture is misdiagnosed in 28% of cases, with possible functional impairment in delayed diagnosis. Assessment of the radiocapitellar alignment on both anteroposterior and lateral views of the elbow is imperative, especially when an apparently isolated ulnar fracture is present. Although Bado I injuries are the most common and diagnosed on lateral radiographs, type III injuries often go unnoticed due to inadequate examination of the anteroposterior view. We present a case of a 6-year-old female patient with a neglected Monteggia fracture (Bado III). The patient underwent surgery 10 months after initial trauma, involving open reduction of the radial head, repair of the annular ligament, and proximal ulnar osteotomy. At 1 year follow-up, the patient achieved a QuickDASH of 0. This case highlights the importance of early recognition and appropriate imaging evaluation, while demonstrating that satisfactory outcomes can be achieved in chronic cases with proper surgical management.
SN - 2042-8812
ER -