Fracture of the supracondylar process of the humerus associated with Monteggia fracture

Fractures of the supracondylar process of the humerus have been rarely described in the medical literature. This is a bony projection that arises from the anteromedial surface of the distal humerus, and present in only one per cent of the population. We present a patient with this rare injury associated with a Monteggia fracture of the forearm. The proximity of neurovascular structures to the process makes them vulnerable to injury associated with this fracture. We present a review of the literature and treatment guidelines.