Fig. 4. A 4-year-old girl with a missed Monteggia fracture after a 2-month interval with loss of full flexion. (A) Radiograph showing isolated anterior dislocation of the radial head. (B) Immediate postoperative radiograph demonstrating the reduced radial head with open reduction alone. (C) A 5-year follow-up radiograph showing normal alignment of the proximal radius with the capitellum. (D) Full range of motion of the elbow and forearm is demonstrated.