Monteggia Fracture Dislocation with Ipsilateral Distal Radius - Ulna Fracture in a Child

Background – Monteggia fracture dislocation is proximal ulna fracture with radial head dislocation. We present a rare case of monteggia fracture dislocation Bado type III with ipsilateral distal radius physis injury Salter Harris type II in an eight year old boy. It is to highlight the importance of clinical examination and the need of radiograph one joint above and below the fracture. Case Report: An eight year old boy presented with history of fall from roof and sustained a combined Monteggia injury with ipsilateral distal radius physis injury, managed by open reduction of proximal ulna fracture and close reduction of distal radius physis with good functional outcome at 4 months. Conclusion: This report highlights the rare combination of Monteggia fracture dislocation with ipsilateral distal radius physis injury and emphasizing the universal rule of examining one joint above and below and including both when taking radiographs for suspected long bone fractures.