{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T14:45:23Z","timestamp":1787755523018,"version":"build-2784847793"},"reference-count":13,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"1","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"abstract":"<jats:sec>\n                    <jats:title>Case:<\/jats:title>\n                    <jats:p>A 9-year-old girl presented with a painful stiff elbow consequent to an injury she had sustained 4 months ago. The radiographs were suggestive of a type 2 Monteggia equivalent injury. She underwent an open reduction of the radial neck fracture and proximal ulna extension osteotomy to restore radiocapitellar alignment. At one-year follow-up, the child had a painless elbow with a good functional outcome.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Monteggia lesions can be frequently missed and result in significant morbidity. Obtaining appropriate radiographs for a comprehensive understanding of the injury and proper surgical planning is important for achieving a good functional outcome in such injuries.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.2106\/jbjs.cc.20.00179","type":"journal-article","created":{"date-parts":[[2021,2,24]],"date-time":"2021-02-24T13:50:02Z","timestamp":1614174602000},"page":"e20.00179-e20.00179","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":7,"title":["Management of Missed Type-2 Monteggia Fracture Equivalent in a 9-Year-Old Child"],"prefix":"10.2106","volume":"11","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0208-5653","authenticated-orcid":false,"given":"Nirmal Raj","family":"Gopinathan","sequence":"first","affiliation":[{"name":"Department of Orthopaedics, Post Graduate Institute of Medical Education and Research (PGIMER), Chandigarh, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4620-723X","authenticated-orcid":false,"given":"Karthick","family":"Rangasamy","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics, Post Graduate Institute of Medical Education and Research (PGIMER), Chandigarh, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1386-1515","authenticated-orcid":false,"given":"Pulak","family":"Vatsya","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics, All India Institute of Medical Science and Research (AIIMS), New Delhi, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6731-7211","authenticated-orcid":false,"given":"Prateek","family":"Behera","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics, All India Institute of Medical Science and Research (AIIMS), Bhopal, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2021,1]]},"reference":[{"key":"bib2-20240731","doi-asserted-by":"crossref","first-page":"591","DOI":"10.1097\/01241398-200209000-00005","article-title":"Chronic radial head dislocation in children, part 2: results of open treatment and factors affecting final outcome","volume":"22","author":"Kim","year":"2002","journal-title":"J Pediatr Orthop."},{"key":"bib3-20240731","doi-asserted-by":"crossref","first-page":"615","DOI":"10.2106\/00004623-198668040-00022","article-title":"Monteggia fracture-dislocation in children. Late treatment in two cases","volume":"68","author":"Kalamchi","year":"1986","journal-title":"J Bone Joint Surg Am."},{"key":"bib4-20240731","doi-asserted-by":"crossref","first-page":"306","DOI":"10.1097\/01241398-199905000-00006","article-title":"Management of chronic posttraumatic radial head dislocation in children","volume":"19","author":"Seel","year":"1999","journal-title":"J Pediatr Orthop."},{"key":"bib5-20240731","doi-asserted-by":"crossref","first-page":"404","DOI":"10.4103\/0019-5413.83946","article-title":"Outcome of radial head preserving operations in missed Monteggia fracture in children","volume":"45","author":"Garg","year":"2011","journal-title":"Indian J Orthop."},{"key":"bib6-20240731","doi-asserted-by":"crossref","first-page":"718","DOI":"10.1302\/0301-620X.47B4.718","article-title":"The treatment of malunited anterior Monteggia fractures in children","volume":"47","author":"Bell Tawse","year":"1965","journal-title":"J Bone Joint Surg Br."},{"key":"bib7-20240731","doi-asserted-by":"crossref","first-page":"639","DOI":"10.1302\/0301-620X.69B4.3611173","article-title":"Operation for chronic dislocation of the radial head in children. Reduction by osteotomy of the ulna","volume":"69","author":"Hirayama","year":"1987","journal-title":"J Bone Joint Surg Br."},{"key":"bib8-20240731","doi-asserted-by":"crossref","first-page":"151","DOI":"10.1007\/s00264-006-0153-4","article-title":"Treatment of chronic radial head dislocations in children","volume":"31","author":"Belangero","year":"2007","journal-title":"Int Orthop."},{"key":"bib9-20240731","doi-asserted-by":"crossref","first-page":"597","DOI":"10.1097\/BOT.0b013e3182548981","article-title":"Indirect reduction of the radial head in children with chronic Monteggia lesions","volume":"26","author":"Song","year":"2012","journal-title":"J Orthop Trauma."},{"key":"bib10-20240731","doi-asserted-by":"crossref","first-page":"389","DOI":"10.4103\/0019-5413.55978","article-title":"Missed Monteggia fracture in children: is annular ligament reconstruction always required?","volume":"43","author":"Bhaskar","year":"2009","journal-title":"Indian J Orthop."},{"key":"bib11-20240731","doi-asserted-by":"crossref","first-page":"547","DOI":"10.1302\/0301-620X.83B4.0830547","article-title":"Missed chronic anterior Monteggia lesion. Closed reduction by gradual lengthening and angulation of the ulna","volume":"83","author":"Exner","year":"2001","journal-title":"J Bone Joint Surg Br."},{"key":"bib12-20240731","doi-asserted-by":"crossref","first-page":"73","DOI":"10.3109\/17453679809002361","article-title":"Corrective ulnar osteotomy for malunited anterior Monteggia lesions in children. 12 patients followed for 1-12 years","volume":"69","author":"Inoue","year":"1998","journal-title":"Acta Orthop Scand."},{"key":"bib13-20240731","doi-asserted-by":"crossref","first-page":"65","DOI":"10.1302\/0301-620X.33B1.65","article-title":"The Monteggia fracture with posterior dislocation of the radial head","volume":"33-B","author":"Penrose","year":"1951","journal-title":"J Bone Joint Surg Br."},{"key":"bib14-20240731","doi-asserted-by":"crossref","first-page":"101","DOI":"10.1016\/0020-1383(95)00187-5","article-title":"The posterior Monteggia: a pathological lesion?","volume":"27","author":"Haddad","year":"1996","journal-title":"Injury."}],"container-title":["JBJS Case Connector"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.2106\/JBJS.CC.20.00179","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T13:44:22Z","timestamp":1787751862000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.2106\/JBJS.CC.20.00179"}},"subtitle":["A Case Report"],"short-title":[],"issued":{"date-parts":[[2021,1]]},"references-count":13,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2021]]}},"URL":"https:\/\/doi.org\/10.2106\/jbjs.cc.20.00179","relation":{},"ISSN":["2160-3251"],"issn-type":[{"value":"2160-3251","type":"electronic"}],"subject":[],"published":{"date-parts":[[2021,1]]}}}