Volume 26, Issue 124, June 2022

Impact of physiotherapy rehabilitation in subject with Monteggia fracture with compartment syndrome- A case report

Aditi Joshi¹, Om Wadhokar², Pratik Phansopkar^3♦

¹Intern, Department of Musculoskeletal Physiotherapy, Ravi Nair Physiotherapy College, Datta Meghe Institute of Medical Sciences (DU), Wardha, Maharashtra, India
²Resident, Department of Musculoskeletal Physiotherapy, Ravi Nair Physiotherapy College, Datta Meghe Institute of Medical Sciences (DU), Wardha, Maharashtra, India
³Associate Professor and HOD, Department of Musculoskeletal Physiotherapy, Ravi Nair Physiotherapy College, Datta Meghe Institute of Medical Sciences (DU), Wardha, Maharashtra, India

^♦Corresponding author
Associate Professor and HOD, Department of Musculoskeletal Physiotherapy, Ravi Nair Physiotherapy College, Datta Meghe Institute of Medical Sciences (DU), Wardha, Maharashtra India

ABSTRACT

The Fracture of proximal ulna linked with radial head dislocation is called Monteggia fracture. The cause of injury is traumatic and leads to complications if nerves are damaged with fracture at the forearm. Compartment syndrome is a common cause of trauma that destroys the soft tissues. The compression is due to fracture leads to nerve paralysis, specifically the ulnar and radial nerve. Such complications limit the functional activities as well as slow the healing process. We document a case of 55-year-old farmer, admitted to hospital, with history of twisting injury at forearm due to rotator machine of the tractor, admitted in emergency unit with bleeding wound, pain plus swelling over forearm. On investigations, it was diagnosed as Compound grade I Monteggia fracture and radial head dislocation with Radial plus Ulnar nerve Palsy with Compartment Syndrome. It was managed by open reduction internal fixation and Physiotherapy was started for further rehabilitation.

Keywords: Monteggia fracture, Compartment syndrome, Bado’s Classification, ulnar and radial nerve palsy, physiotherapy

Medical Science, 2022, 26, ms249e2140

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DOI: https://doi.org/10.54905/disssi/v26i124/ms249e2140

Published: 25 June 2022