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Monteggia fracture dislocations are a relatively rare entity and they represent less than 2% of forearm fractures, the diagnosis can be missed in up to 50% of the time. The gold standard of treatment in adults has been open reduction and internal fixation, and closed reduction and cast immobilization in pediatrics.

We present three cases series of neglected Monteggia fractures in a 5-, 4-, and 9-year-old patients. The patients presented 10, 20, and 25 days post-injury, respectively. EPZ-6438 chemical structure Each case was treated differently with the last case requiring open reduction and annular ligament reconstruction. All the three cases showed excellent results on follow-up.

To avoid missing these injuries, each patient should undergo a comprehensive clinical approach and adequate radiological imaging. Various treatment methods exist for neglected Monteggia fracture and each option should be exhausted to salvage the radial head starting with the less invasive approaches.

To avoid missing these injuries, each patient should undergo a comprehensive clinical approach and adequate radiological imaging. Various treatment methods exist for neglected Monteggia fracture and each option should be exhausted to salvage the radial head starting with the less invasive approaches.

Adult both bone forearm fractures (BBFF) are common injuries that are typically treated with operative fixation given their instability. Non-displaced fractures can be theoretically treated non-operatively, but there is no literature demonstrating treatment outcomes of such fractures.

We present a case of non-displaced BBFF in a 23-year-old Caucasian male adult who was treated with cast immobilization and concomitant ultrasound stimulator use; this patient went on to have solid fracture healing without complication.

Based on this case, we demonstrate that non-operative management of non-displaced BBFF in adult patients is an option if close follow-up is available. This is significant for the fields of both orthopedic and plastic surgery, as there is little concrete evidence of outcomes of such non-displaced fractures in hand surgery literature.

Based on this case, we demonstrate that non-operative management of non-displaced BBFF in adult patients is an option if close follow-up is available. This is significant for the fields of both orthopedic and plastic surgery, as there is little concrete evidence of outcomes of such non-displaced fractures in hand surgery literature.

Radioulnar synostosis is a bony connection between the radius and ulna, which causes restriction of the active and passive rotational movements of the forearm such as supination and pronation, which can lead to significant functional disability in the patients.

A 35-year-old male carpenter presented with the complaint of right forearm supination and pronation restriction for the past 8 months with minimal pain at the elbow region with no previous history of trauma or surgery. On examination, forearm supination and pronation movements were completely restricted with normal elbow flexion and extension and with no neurovascular deficit. X-ray of the right radius ulna with elbow revealed synostosis between proximal radius and ulna at the level of the radial tuberosity. Synostosis was removed using both anterior and posterior approaches. Postoperatively patient is having good supination and pronation movements, no pain, and difficulty in his occupation.

Idiopathic proximal radioulnar synostosis should be suspected in patients having restricted rotatory movements of forearm with no previous history of trauma or surgery and this is the first reported case of idiopathic proximal radioulnar synostosis. Complete resection of the synostosis with early initiation of aggressive physiotherapy helps in getting good functional outcomes.

Idiopathic proximal radioulnar synostosis should be suspected in patients having restricted rotatory movements of forearm with no previous history of trauma or surgery and this is the first reported case of idiopathic proximal radioulnar synostosis. Complete resection of the synostosis with early initiation of aggressive physiotherapy helps in getting good functional outcomes.

Femoral neck fractures are less frequent in adolescents. A neglected femoral neck fracture is one in which there has been a delay of more than 30 days from seeking medical attention from the time of injury [1]. The main complications are non-union and avascular necrosis (AVN) of femoral head. Various methods have been tried to successfully manage neglected femoral fractures.

A 16-year-old boy presented with complains of pain over the right hip and inability to walk for the past 3 months, following a history of fall from a height of around 6 ft. He underwent native splinting from an indigenous native bone setter for 3 months. The splint was removed after 3 months, but the symptoms did not subside. He was diagnosed to have neglected femoral neck fracture and underwent open reduction and internal fixation with three 6.5 mm cannulated cancellous screws with washers. There were no post-operative complications. The patient recovered well. At 15 months follow-up, no clinical or radiological signs of AVN were observed with excellent functional outcome.

The incidence of neglected femoral neck fractures is declining with improving health-care facilities in developing countries like India. Accurate anatomical reduction and internal fixation are important to reduce the incidence of AVN and non-union after a femoral neck fracture. Internal fixation of the fracture following valgus osteotomy is the most quoted technique in the literature.

The incidence of neglected femoral neck fractures is declining with improving health-care facilities in developing countries like India. Accurate anatomical reduction and internal fixation are important to reduce the incidence of AVN and non-union after a femoral neck fracture. Internal fixation of the fracture following valgus osteotomy is the most quoted technique in the literature.

Equinus deformity is commonly seen in children with underlying diseases such as arthrogryposis multiplex congenita congenita, spina bifida, and myelomeningocele. It is the most common deformity of the lower limb following poliomyelitis in the developing countries. The equinus deformity may be accompanied with varus (equinovarus), cavus (equinovarus) or cavus, and varus (equinocavovarus). If the deformity is not treated in early childhood, it becomes progressive, rigid, and difficult to treat.

In this article, we describe a case of 35-year-old lady who had severe rigid equinus deformity due to poliomyelitis. We did talectomy and tibiocalcaneal fusion to achieve single-stage correction of the deformity. At 2 years follow-up, patient had painless plantigrade foot and satisfactory esthetic and functional outcome.

Severe rigid ankle equinus deformity in adults can be corrected by midfoot osteotomies and/or gradual correction using external fixator. When the patient is not compliant for gradual correction technique, the deformity can be corrected by talectomy and tibiocalcaneal fusion.