{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,25]],"date-time":"2026-02-25T03:41:35Z","timestamp":1771990895560,"version":"3.50.1"},"reference-count":22,"publisher":"MDPI AG","issue":"4","license":[{"start":{"date-parts":[[2025,4,11]],"date-time":"2025-04-11T00:00:00Z","timestamp":1744329600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Life"],"abstract":"<jats:p>Monteggia fractures represent complex injuries requiring careful assessment and surgical intervention. This case report presents a rare variation of a Bado type I Monteggia fracture\u2013dislocation that resembles features from the Jupiter subclassification type IID. A 39-year-old male sustained a high-energy injury while riding an all-terrain vehicle, resulting in a proximal segmental ulnar shaft fracture with anterior radial head dislocation. Open reduction and internal fixation (ORIF) of the ulna using a pre-contoured proximal ulna low-contact dynamic compression plate (LC-DCP) successfully restored alignment, leading to spontaneous reduction of the radial head. The postoperative course was uneventful, with satisfactory healing and functional recovery. This case underscores the importance of meticulous ulnar reconstruction in Monteggia fracture\u2013dislocations and contributes to the limited literature on anterior radial head dislocation patterns.<\/jats:p>","DOI":"10.3390\/life15040637","type":"journal-article","created":{"date-parts":[[2025,4,11]],"date-time":"2025-04-11T06:45:31Z","timestamp":1744353931000},"page":"637","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Anterior Radial Head Dislocation Associated with a Bifocal Fracture of the Ulna: A Bado Type ID Monteggia Fracture\u2013Dislocation?"],"prefix":"10.3390","volume":"15","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9643-584X","authenticated-orcid":false,"given":"Flaviu","family":"Moldovan","sequence":"first","affiliation":[{"name":"Orthopedics\u2014Traumatology Department, Faculty of Medicine, George Emil Palade University of Medicine, Pharmacy, Science, and Technology of Targu Mures, 540142 Targu Mures, Romania"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1968","published-online":{"date-parts":[[2025,4,11]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"296","DOI":"10.1007\/s00068-008-8028-6","article-title":"Monteggia and Monteggia-like-lesions: Classification, Indication, and Techniques in Operative Treatment","volume":"35","author":"Josten","year":"2009","journal-title":"Eur. J. Trauma Emerg. Surg."},{"key":"ref_2","doi-asserted-by":"crossref","first-page":"71","DOI":"10.1097\/00003086-196701000-00008","article-title":"The Monteggia lesion","volume":"50","author":"Bado","year":"1967","journal-title":"Clin. Orthop. Relat. Res."},{"key":"ref_3","doi-asserted-by":"crossref","first-page":"395","DOI":"10.1097\/00005131-199112000-00003","article-title":"The posterior Monteggia lesion","volume":"5","author":"Jupiter","year":"1991","journal-title":"J. Orthop. Trauma"},{"key":"ref_4","unstructured":"Johnson, N.P., and Silberman, M. (2025, February 24). Monteggia Fractures, StatPearls, Available online: https:\/\/www.ncbi.nlm.nih.gov\/books\/NBK470575\/."},{"key":"ref_5","doi-asserted-by":"crossref","unstructured":"Moldovan, F. (2024). Role of Serum Biomarkers in Differentiating Periprosthetic Joint Infections from Aseptic Failures after Total Hip Arthroplasties. J. Clin. Med., 13.","DOI":"10.3390\/jcm13195716"},{"key":"ref_6","doi-asserted-by":"crossref","first-page":"101061","DOI":"10.1016\/j.tcr.2024.101061","article-title":"A novel variant of type-II Monteggia equivalent in an adult: A case report with a 6-year follow-up","volume":"52","author":"Mohamed","year":"2024","journal-title":"Trauma Case Rep."},{"key":"ref_7","first-page":"RD01","article-title":"Type IIA Monteggia fracture dislocation with ipsilateral distal radius fracture in adult\u2014A rare association","volume":"10","author":"Kembhavi","year":"2016","journal-title":"J. Clin. Diagn. Res."},{"key":"ref_8","first-page":"303","article-title":"Elbow dislocation with ipsilateral diaphyseal fractures of radius and ulna in an adult\u2014Is it type 1 or type 2 Monteggia equivalent lesion?","volume":"15","author":"Modi","year":"2012","journal-title":"Chin. J. Traumatol."},{"key":"ref_9","first-page":"723756","article-title":"Medial radial head dislocation associated with a proximal olecranon fracture: A Bado type V?","volume":"2014","author":"Segaren","year":"2014","journal-title":"Case Rep. Surg."},{"key":"ref_10","doi-asserted-by":"crossref","unstructured":"Moldovan, F. (2024). Correlation between Peripheric Blood Markers and Surgical Invasiveness during Humeral Shaft Fracture Osteosynthesis in Young and Middle-Aged Patients. Diagnostics, 14.","DOI":"10.3390\/diagnostics14111112"},{"key":"ref_11","doi-asserted-by":"crossref","first-page":"303","DOI":"10.1186\/s13018-022-03195-1","article-title":"Monteggia fractures: Analysis of patient-reported outcome measurements in correlation with ulnar fracture localization","volume":"17","author":"Tille","year":"2022","journal-title":"J. Orthop. Surg. Res."},{"key":"ref_12","doi-asserted-by":"crossref","first-page":"1448","DOI":"10.1111\/os.12784","article-title":"Difference Between Posterior Monteggia Fractures and Posterior Fracture-Dislocation of Proximal Ulna in Adults","volume":"12","author":"Liu","year":"2020","journal-title":"Orthop. Surg."},{"key":"ref_13","first-page":"393","article-title":"Occult Monteggia fracture in an adult: A case report","volume":"73","author":"Kadakia","year":"2007","journal-title":"Acta Orthop. Belg."},{"key":"ref_14","doi-asserted-by":"crossref","first-page":"85","DOI":"10.1016\/j.jses.2017.06.003","article-title":"Irreducible Monteggia fracture: Interposed radial nerve and capsule","volume":"1","author":"Tanner","year":"2017","journal-title":"JSES Open Access"},{"key":"ref_15","doi-asserted-by":"crossref","first-page":"e17728","DOI":"10.1097\/MD.0000000000017728","article-title":"Effect of soft tissue injury and ulnar angulation on radial head instability in a Bado type I Monteggia fracture model","volume":"98","author":"Hayami","year":"2019","journal-title":"Medicine"},{"key":"ref_16","doi-asserted-by":"crossref","first-page":"10","DOI":"10.31080\/ASOR.2021.04.0327","article-title":"Irreducible Radial Head in Monteggia Fracture Dislocation: Is There an Alternative to Open Reduction?","volume":"4","author":"Abdelgawad","year":"2021","journal-title":"Acta Sci. Orthop."},{"key":"ref_17","doi-asserted-by":"crossref","first-page":"24715492231196622","DOI":"10.1177\/24715492231196622","article-title":"Surgical treatment of Monteggia-like lesions with a modified Boyd approach","volume":"7","author":"Kokkalis","year":"2023","journal-title":"J. Shoulder Elb. Arthroplast."},{"key":"ref_18","doi-asserted-by":"crossref","first-page":"e839","DOI":"10.5435\/JAAOS-D-19-00625","article-title":"Complex monteggia fractures in the adult cohort: Injury and management","volume":"28","author":"Kim","year":"2020","journal-title":"J. Am. Acad. Orthop. Surg."},{"key":"ref_19","doi-asserted-by":"crossref","first-page":"48","DOI":"10.1590\/1413-785220162401152249","article-title":"Epidemiology and Treatment of Monteggia Lesion in Adults: Series of 44 Cases","volume":"24","author":"Suarez","year":"2016","journal-title":"Acta Ortop. Bras."},{"key":"ref_20","doi-asserted-by":"crossref","first-page":"1733","DOI":"10.2106\/00004623-199812000-00003","article-title":"Monteggia fractures in adults","volume":"80","author":"Ring","year":"1998","journal-title":"J. Bone Jt. Surg. Am."},{"key":"ref_21","doi-asserted-by":"crossref","first-page":"6218","DOI":"10.1097\/MS9.0000000000001420","article-title":"Proximal radioulnar synostosis following Monteggia fracture-dislocation: A case report","volume":"85","author":"Khadka","year":"2023","journal-title":"Ann. Med. Surg."},{"key":"ref_22","doi-asserted-by":"crossref","first-page":"1729","DOI":"10.1016\/j.jse.2013.07.050","article-title":"Clinical usefulness of proximal ulnar and radial fracture-dislocation comprehensive classification system (PURCCS): Prospective study of 39 cases","volume":"22","author":"Giannicola","year":"2013","journal-title":"J. Shoulder Elb. 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