Become a Pro Member for full access to this course and more.

View Plans   Log In
Expand ("E")   Collapse

Age: 55

Sex: Female

Indication: Trauma

Save ("V")

Case #20


Findings

  • Acute comminuted fracture of the proximal ulnar diaphysis with a mildly displaced 1.7 cm butterfly fragment and one-half shaft width volar displacement and apex volar angulation of the distal fracture fragment
  • Anterolateral dislocation of the radial head
  • Soft tissue laceration overlying the proximal ulna with locules of subcutaneous gas
  • Elbow joint effusion


Diagnosis

  • Monteggia fracture/dislocation

Sample Report

Monteggia fracture/dislocation with the following components:

Acute comminuted fracture of the proximal ulnar diaphysis with a mildly displaced 1.7 cm butterfly fragment and one-half shaft width volar displacement and apex volar angulation of the distal fracture fragment. Soft tissue laceration overlying the proximal ulna with locules of subcutaneous gas raises concern for open fracture.

Anterolateral dislocation of the radial head. Ulnotrochlear alignment is maintained.

Elbow joint effusion.


Discussion

  • It is important to raise concern for open fracture when you see soft tissue gas
  • Think about the radius and ulna as a ring structure so that if you see one radial/ulnar fracture, look for another fracture or dislocation



📣 Feedback?

⌨️  Keyboard Shortcuts ("K")

⌨️ Keyboard Shortcuts

View shortcuts

Zoom/Pan

  Full screen

  Window/Level

  Expand/collapse

  Scroll

  Save the case

  Close case/tab

Previous Slice (Scroll)

Next Slice (Scroll)

 Toggle presets

 Previous series (if multiple)

 Next series (if multiple)

  Previous case (⌘ ◄ on a mac)

  Next case (⌘ ► on a mac)

Toggle dark mode