Case 38 Answer

Woohoo. Nice work everyone. Who had to look up the name? :)

Answer: Monteggia fracture-dislocation   ( mid ulnar fracture with radial head dislocation)

source: http://radiopaedia.org/articles/monteggia-fracture-dislocation

side note (and a semantics peeve): remember a fracture-dislocation is a defined as:  severe injury where a fracture and dislocation both occur simultaneously.       Reports often come over saying “Impression: No fracture-dislocation”, when you probably mean to say “No fracture or dislocation”.   :)