{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T14:39:45Z","timestamp":1787755185248,"version":"build-2784847793"},"reference-count":18,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"4","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 7-year-old boy sustained a Monteggia fracture-dislocation. Corrective osteotomy of the ulna was performed to restore proper forearm anatomy and achieve radial head reduction. Recurrent radial head instability was noted postoperatively, and magnetic resonance imaging indicated recurrent dislocation of the radial head with, notably, an entrapped brachialis tendon and annular ligament. Open reduction of the elbow was performed. Anatomic reduction of the radiocapitellar joint and full range of motion without instability was achieved.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>To the best of our knowledge, this is the first report of persistent radial head instability because of an entrapped brachialis tendon.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.2106\/jbjs.cc.21.00238","type":"journal-article","created":{"date-parts":[[2021,10,15]],"date-time":"2021-10-15T21:57:08Z","timestamp":1634335028000},"update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":1,"title":["Irreducible Monteggia Fracture-Dislocation Secondary to an Entrapped Brachialis Tendon"],"prefix":"10.2106","volume":"11","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2671-2965","authenticated-orcid":false,"given":"McKayla","family":"Kelly","sequence":"first","affiliation":[{"name":"Anne Arundel Medical Center, Annapolis, Maryland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Justin","family":"Turcotte","sequence":"additional","affiliation":[{"name":"Anne Arundel Medical Center, Annapolis, Maryland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alexander","family":"Shushan","sequence":"additional","affiliation":[{"name":"Anne Arundel Medical Center, Annapolis, Maryland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jeffrey","family":"Gelfand","sequence":"additional","affiliation":[{"name":"Anne Arundel Medical Center, Annapolis, Maryland"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2021,10]]},"reference":[{"issue":"6","key":"bib1-20240805","first-page":"27","article-title":"Intra-articular Monteggia fracture: a case study of using the center of rotational angulation to improve a functional outcome","volume":"8","author":"Posey","year":"2018","journal-title":"J Orthop Case Rep."},{"issue":"4","key":"bib2-20240805","doi-asserted-by":"crossref","first-page":"352","DOI":"10.1097\/BPO.0b013e31825611fc","article-title":"Pediatric Monteggia fractures: a single-center study of the management of 40 patients","volume":"32","author":"Leonidou","year":"2012","journal-title":"J Pediatr Orthop."},{"issue":"8","key":"bib3-20240805","doi-asserted-by":"crossref","first-page":"1563","DOI":"10.2106\/00004623-197456080-00003","article-title":"Monteggia fractures","volume":"56","author":"Bruce","year":"1974","journal-title":"J Bone Joint Surg Am."},{"key":"bib4-20240805","doi-asserted-by":"crossref","first-page":"230","DOI":"10.1097\/00003086-198808000-00029","article-title":"Monteggia-type elbow fractures in childhood","volume":"233","author":"Papavasiliou","year":"1988","journal-title":"Clin Orthop Relat Res."},{"issue":"6","key":"bib5-20240805","doi-asserted-by":"crossref","first-page":"1394","DOI":"10.2106\/JBJS.H.00644","article-title":"Long-term clinical and radiographic outcomes after open reduction for missed Monteggia fracture-dislocations in children","volume":"91","author":"Nakamura","year":"2009","journal-title":"J Bone Joint Surg Am."},{"issue":"2","key":"bib6-20240805","first-page":"90","article-title":"The results of treatment in pediatric Monteggia equivalent lesions","volume":"42","author":"G\u00fcven","year":"2008","journal-title":"Acta Orthop Traumatol Turc."},{"issue":"4","key":"bib7-20240805","doi-asserted-by":"crossref","first-page":"215","DOI":"10.5435\/00124635-199807000-00003","article-title":"Monteggia fractures in children and adults","volume":"6","author":"Ring","year":"1998","journal-title":"J Am Acad Orthop Surg."},{"issue":"1","key":"bib8-20240805","doi-asserted-by":"crossref","first-page":"85.e1","DOI":"10.1016\/j.jhsa.2017.08.013","article-title":"The adult monteggia fracture: patterns and incidence of annular ligament incarceration among 121 cases at a single institution over 19 years","volume":"43","author":"Hamaker","year":"2018","journal-title":"J Hand Surg Am."},{"issue":"5","key":"bib9-20240805","doi-asserted-by":"crossref","first-page":"325","DOI":"10.1016\/0020-1383(94)90246-1","article-title":"Irreducible Monteggia fracture: beware nerve entrapment","volume":"25","author":"Watson","year":"1994","journal-title":"Injury."},{"issue":"suppl 1","key":"bib10-20240805","first-page":"78","article-title":"Monteggia lesions in adults. A multicenter Bota study","volume":"62","author":"Reynders","year":"1996","journal-title":"Acta Orthop Belg."},{"issue":"9","key":"bib11-20240805","doi-asserted-by":"crossref","first-page":"1618","DOI":"10.1016\/j.jhsa.2009.06.026","article-title":"Long-term evaluation of surgically treated anterior Monteggia fractures in skeletally mature patients","volume":"34","author":"Guitton","year":"2009","journal-title":"J Hand Surg Am."},{"issue":"1-S","key":"bib12-20240805","first-page":"154","article-title":"Annular ligament repair using allograft for the treatment of chronic radial head dislocation: a case report","volume":"90","author":"Pari","year":"2018","journal-title":"Acta Biomed."},{"issue":"suppl 1","key":"bib13-20240805","doi-asserted-by":"crossref","first-page":"93","DOI":"10.1007\/s12306-018-0564-6","article-title":"Annular ligament reconstruction in chronic Monteggia fracture-dislocations in the adult population: indications and surgical technique","volume":"102","author":"Canton","year":"2018","journal-title":"Musculoskelet Surg."},{"issue":"6","key":"bib14-20240805","doi-asserted-by":"crossref","first-page":"745","DOI":"10.4103\/ortho.IJOrtho_47_19","article-title":"Functional outcome of Bell Tawse procedure for the management of chronic unreduced monteggia fracture-dislocation in children","volume":"53","author":"Mohan Kumar","year":"2019","journal-title":"Indian J Orthop."},{"issue":"4","key":"bib15-20240805","doi-asserted-by":"crossref","first-page":"829","DOI":"10.3349\/ymj.2017.58.4.829","article-title":"Impact of open reduction on surgical strategies for missed monteggia fracture in children","volume":"58","author":"Park","year":"2017","journal-title":"Yonsei Med J."},{"issue":"2","key":"bib16-20240805","doi-asserted-by":"crossref","first-page":"227","DOI":"10.1097\/01241398-198305000-00015","article-title":"Surgical treatment of symptomatic chronic radial head dislocation: a neglected Monteggia fracture","volume":"3","author":"Hurst","year":"1983","journal-title":"J Pediatr Orthop."},{"issue":"5","key":"bib17-20240805","doi-asserted-by":"crossref","first-page":"734","DOI":"10.1302\/0301-620X.78B5.0780734","article-title":"Operative fixation of Monteggia fractures in children","volume":"78","author":"Ring","year":"1996","journal-title":"J Bone Joint Surg Br."},{"issue":"2","key":"bib18-20240805","doi-asserted-by":"crossref","first-page":"115","DOI":"10.1097\/BPO.0000000000000213","article-title":"Pediatric Monteggia fractures: a multicenter examination of treatment strategy and early clinical and radiographic results","volume":"35","author":"Ramski","year":"2015","journal-title":"J Pediatr Orthop."}],"container-title":["JBJS Case Connector"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.2106\/JBJS.CC.21.00238","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T13:38:52Z","timestamp":1787751532000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.2106\/JBJS.CC.21.00238"}},"subtitle":["A Case Report"],"short-title":[],"issued":{"date-parts":[[2021,10]]},"references-count":18,"journal-issue":{"issue":"4","published-online":{"date-parts":[[2021]]}},"URL":"https:\/\/doi.org\/10.2106\/jbjs.cc.21.00238","relation":{},"ISSN":["2160-3251"],"issn-type":[{"value":"2160-3251","type":"electronic"}],"subject":[],"published":{"date-parts":[[2021,10]]}}}