Unusual Monteggia type 1 variant in adult: a rare finding in a rare fracture

Description 

A 56-year-old female patient presented to the orthopaedic outpatient department with alleged history of slip from stairs about 10–12 in number and fall on the outstretched hand about 3 weeks ago. Following the injury, she developed severe pain, swelling abnormal mobility of lower arm and restriction of movement of the right elbow. She also admitted that post trauma, she had received treatment from traditional bone setters which had reduced her pain. On examination of her limb, there was a flexion deformity of right elbow along with extra articlar varus deformity of lower arm  which was mobile with tenderness and bony crepitus at both at arm and the elbow. There was no distal neurovascular deficit.

Radiographs of the right arm and forearm with shoulder, elbow and wrist joints revealed fractures of the lower shaft humerus and proximal ulna (metaphyseal with intra-articular fragment and coronal split from metaphyio-diaphysis junction extending up to half of...

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