A 44-year-old man who had fallen from an overhead duct onto his right forearm, evolving to pain and deformity. Anteroposterior X-ray of the right elbow showing a Bado type III Monteggia fracture-dislocation, characterized by a fracture in the proximal third of the ulna with lateral dislocation of the radial head (thick arrow). Note also the trace fracture in the medial epicondyle (thin arrow), due to avulsion.