1 In addition to the established four types, he classified a group of lesions that shared a similar mechanism yet presented heterogeneous manifestations with those of ‘Monteggia lesion’. The term ‘Monteggia equivalent lesion’ was first proposed by Jose Luis Bado in his seminal article published in 1967. We hope that greater understanding and management of the Monteggia equivalent lesion in children are facilitated by this review. Pediatric orthopedists’ additional awareness of this variant is expected to develop. The aim of this narrative review was to enumerate the extended cases for this lesion and to achieve a reasonable academic consensus on the definition. Yet, throughout these decades, literature has been disproportionally scarce on reviewing this subset of the entity. Also, especially in pediatric patients when immature radiocapitellar epiphysis interferes with judgment and flexible joint allows more frequent subluxation, quite a number of these types tend to be misdiagnosed or neglected owing to the occult presentation of radiocapitellar joint or plastic bowing ulna on radiographs. The boundary of that definition has largely been blurred. The term ‘lesion’ has gradually superseded those such as ‘fracture’, ‘fracture–dislocation’, or ‘injury’ in the literature, stressing the importance of noticing the radiocapitellar joint and reflecting an increased awareness of the complexity regarding its manifestation and mechanism among orthopedists.Īpart from the established four types proposed by Bado, the groups of ‘Monteggia equivalent lesion/variant’ have been considerably expanded during decades of sporadic case reports. Monteggia fracture, named after Giovanni Monteggia in the 19th century and well described and classified by Dr Bado decades ago, involves ulnar fracture and concomitant dislocation of the radial head.
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