{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T14:46:05Z","timestamp":1787755565110,"version":"build-2784847793"},"reference-count":19,"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>We describe a 10-year-old girl who sustained an anterior radial head dislocation with ulnar plastic deformation. Closed reduction under sedation failed to maintain radial head alignment. A novel technique of ulnar contour plating without osteotomy was used for definitive stabilization. In contrast to using a traditional ulnar osteotomy, this case highlights a unique technique for treating pediatric Monteggia fracture-dislocation equivalents with ulnar plastic deformation. At the 28-month follow-up, successful clinical and radiographic outcomes were observed.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Contour plating of the ulna without osteotomy can successfully treat pediatric Monteggia fracture-dislocation equivalents with ulnar plastic deformation.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.2106\/jbjs.cc.25.00518","type":"journal-article","created":{"date-parts":[[2026,2,19]],"date-time":"2026-02-19T19:00:52Z","timestamp":1771527652000},"update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["Ulna Contour Plating With Annular Ligament Repair for Pediatric Monteggia Fracture-Dislocation Equivalent With Ulnar Plastic Deformation"],"prefix":"10.2106","volume":"16","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7316-6368","authenticated-orcid":false,"given":"Claire A.","family":"Donnelley","sequence":"first","affiliation":[{"name":"Department of Rehabilitation and Orthopaedics, Yale School of Medicine, New Haven, Connecticut"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6247-3047","authenticated-orcid":false,"given":"Jay","family":"Moran","sequence":"additional","affiliation":[{"name":"Department of Rehabilitation and Orthopaedics, Yale School of Medicine, New Haven, Connecticut"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0001-3069-4053","authenticated-orcid":false,"given":"Xuan","family":"Luo","sequence":"additional","affiliation":[{"name":"Department of Rehabilitation and Orthopaedics, Yale School of Medicine, New Haven, Connecticut"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2026,1]]},"reference":[{"issue":"4","key":"bib1-20260219","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":"4","key":"bib2-20260219","doi-asserted-by":"crossref","first-page":"454","DOI":"10.1097\/01241398-199407000-00006","article-title":"\u201cIsolated\u201d traumatic radial-head dislocation","volume":"14","author":"Lincoln","year":"1994","journal-title":"J Pediatr Orthop."},{"issue":"4","key":"bib3-20260219","doi-asserted-by":"crossref","first-page":"293","DOI":"10.1097\/BPO.0000000000001501","article-title":"Missed diagnosis and acute management of radial head dislocation with plastic deformation of ulna in","volume":"40","author":"Singh","year":"2020","journal-title":"J Pediatr Orthop."},{"issue":"4","key":"bib5-20260219","doi-asserted-by":"crossref","first-page":"454","DOI":"10.1097\/01241398-199407000-00006","article-title":"\u201cIsolated\u201d traumatic radial-head dislocations","volume":"14","author":"Lincoln","year":"1994","journal-title":"J Pediatr Orthop."},{"issue":"5","key":"bib6-20260219","first-page":"e035","article-title":"Irreducible dislocation of the radial head associated with pediatric monteggia lesions","volume":"2","author":"Abe","year":"2018","journal-title":"J Am Acad Orthop Surg Glob Res Rev."},{"issue":"1","key":"bib7-20260219","doi-asserted-by":"crossref","first-page":"42","DOI":"10.5397\/cise.2018.21.1.42","article-title":"Anterior dislocation of the radial head combined with plastic deformity of the ulnar shaft in an adult: a case report","volume":"21","author":"Moon","year":"2018","journal-title":"Clin Shoulder Elb."},{"issue":"2","key":"bib8-20260219","doi-asserted-by":"crossref","first-page":"190","DOI":"10.1097\/BPB.0000000000000783","article-title":"Association of radial head dislocation with fracture and acute plastic deformation of the ulna: unreported subtype of monteggia fracture-dislocation in children","volume":"30","author":"Fukuda","year":"2021","journal-title":"J Pediatr Orthop B."},{"issue":"3","key":"bib9-20260219","doi-asserted-by":"crossref","first-page":"191","DOI":"10.1097\/BPB.0000000000000147","article-title":"Neglected monteggia fracture dislocations in children: a systematic review","volume":"24","author":"Goyal","year":"2015","journal-title":"J Pediatr Orthop B."},{"issue":"1","key":"bib10-20260219","doi-asserted-by":"crossref","first-page":"48","DOI":"10.1097\/BPO.0b013e31823db04a","article-title":"Factors affecting assessment of ulnar bowing in radiography","volume":"32","author":"Jeong","year":"2012","journal-title":"J Pediatr Orthop"},{"issue":"suppl 1","key":"bib11-20260219","doi-asserted-by":"crossref","first-page":"S67","DOI":"10.1097\/BPO.0000000000000765","article-title":"Successful strategies for managing monteggia injuries","volume":"36","author":"Bae","year":"2016","journal-title":"J Pediatr Orthop."},{"issue":"2","key":"bib12-20260219","doi-asserted-by":"crossref","first-page":"65","DOI":"10.1097\/BOT.0000000000002219","article-title":"Surgical management of missed pediatric monteggia fractures: a systematic review and meta-analysis","volume":"36","author":"Tan","year":"2022","journal-title":"J Orthop Trauma."},{"issue":"4","key":"bib14-20260219","doi-asserted-by":"crossref","first-page":"308","DOI":"10.1053\/j.oto.2005.08.001","article-title":"Surgical treatment of acute and chronic monteggia fracture-dislocations","volume":"15","author":"Bae","year":"2005","journal-title":"Oper Tech Orthop."},{"issue":"5","key":"bib15-20260219","doi-asserted-by":"crossref","first-page":"325","DOI":"10.5435\/00124635-200905000-00007","article-title":"Surgical approaches to the elbow","volume":"17","author":"Cheung","year":"2009","journal-title":"J Am Acad Orthop Surgeons."},{"issue":"5","key":"bib16-20260219","doi-asserted-by":"crossref","first-page":"281","DOI":"10.1097\/MEJ.0b013e328302c82e","article-title":"Monteggia \u201cfracture\u201d-dislocation with bowing of the ulna: a pitfall for the unwary emergency physician","volume":"15","author":"Goh","year":"2008","journal-title":"Eur J Emerg Med."},{"issue":"2","key":"bib17-20260219","first-page":"e13942","article-title":"Comparison of treatment methods for pediatric monteggia fracture: met vs missed radial head dislocation","volume":"98","author":"He","year":"2019","journal-title":"Medicine (United States)."},{"issue":"2","key":"bib18-20260219","doi-asserted-by":"crossref","DOI":"10.2106\/JBJS.ST.19.00076","article-title":"Intramedullary ulnar fixation for the treatment of monteggia fracture","volume":"11","author":"Riccio","year":"2021","journal-title":"JBJS Essent Surg Tech."},{"issue":"3","key":"bib19-20260219","doi-asserted-by":"crossref","first-page":"e278","DOI":"10.1097\/OI9.0000000000000278","article-title":"Comparison of a 2.7-mm and 3.5-mm locking compression plate for ulnar fractures: a biomechanical evaluation","volume":"6","author":"Wahbeh","year":"2023","journal-title":"OTA Int."},{"issue":"1S","key":"bib20-20260219","doi-asserted-by":"crossref","first-page":"103454","DOI":"10.1016\/j.otsr.2022.103454","article-title":"Sequelae of childhood elbow fracture","volume":"109","author":"Raux","year":"2023","journal-title":"Orthop Traumatol Surg Res."},{"issue":"1","key":"bib21-20260219","doi-asserted-by":"crossref","first-page":"313","DOI":"10.1016\/j.jseint.2024.12.002","article-title":"An in-vitro biomechanical comparison of annular ligament repair and reconstructions to restore radial head stability in anterior monteggia fractures","volume":"9","author":"Vannitamby","year":"2025","journal-title":"JSES Int."}],"container-title":["JBJS Case Connector"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.2106\/JBJS.CC.25.00518","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T13:45:05Z","timestamp":1787751905000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.2106\/JBJS.CC.25.00518"}},"subtitle":["A Case Report"],"short-title":[],"issued":{"date-parts":[[2026,1]]},"references-count":19,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2026]]}},"URL":"https:\/\/doi.org\/10.2106\/jbjs.cc.25.00518","relation":{},"ISSN":["2160-3251"],"issn-type":[{"value":"2160-3251","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,1]]}}}