case_images: PMC3090656_01
case_images: Lateral (a) and oblique (b) radiographs of a right type I Monteggia fracture-dislocation.
case_images: CRIM2011-682454.001.jpg
case_images: PMC3090656_01_CRIM2011-682454.001.jpg
case_images: fig1
case_images: Radiographs showed a Bado type I Monteggia fracture-dislocation (Figure 1).
case_images: PMC3090656_02
case_images: Postoperative anteroposterior (a) and lateral (b) radiographs of the right forearm with a 2 mm titanium elastic nail in the ulna. Diaphyseal ulna fragment not reduced.
case_images: CRIM2011-682454.002.jpg
case_images: PMC3090656_02_CRIM2011-682454.002.jpg
case_images: fig2
case_images: An intraoperative decision by the senior author was made not to manipulate and reduce the displaced ulna fragment as it did not interfere with forearm rotation and the potential for remodelling in this six-year-old child (Figure 2).
case_images: Anteroposterior (a) and lateral (b) radiographs of right forearm two weeks after exploration.
case_images: CRIM2011-682454.003.jpg
case_images: PMC3090656_02_CRIM2011-682454.003.jpg
case_images: fig3
case_images: Check forearm and elbow radiographs demonstrated maintained reduction of the radial head, good position of the ulna diaphyseal fragment (Figure 3), and at six months the fracture had united and remodelled (Figure 4). 
case_images: Anteroposterior (a) and lateral (b) radiographs of right forearm at six months showing fracture union and remodelling.
case_images: CRIM2011-682454.004.jpg
case_images: PMC3090656_02_CRIM2011-682454.004.jpg
case_images: fig4
case_images: Check forearm and elbow radiographs demonstrated maintained reduction of the radial head, good position of the ulna diaphyseal fragment (Figure 3), and at six months the fracture had united and remodelled (Figure 4). 
case_images: Clinical photographs demonstrating range of movement at nine months of the forearms in pronation (a), supination with flexion of 45 degrees (b) and 90 degrees (c), elbow extension (d), elbow flexion (e), and full median nerve function (f, g).
case_images: CRIM2011-682454.005.jpg
case_images: PMC3090656_02_CRIM2011-682454.005.jpg
case_images: fig5
case_images: The patient continued to be asymptomatic with no motor or sensory deficit of the median nerve and demonstrated excellent clinical function with full flexion and extension at the wrist, active forearm rotation consisting of full supination, 50  of pronation and full flexion, and extension at the ulnohumeral joint (Figure 5).