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In this report,we describe an extremely unusual Monteggia equivalent type 1 lesion in a 10-year-old boy following a fall from a height of 1 m.On the plain radiographs,our patient had a particular Monteggia equivalent type 1 injury associating a posterior elbow dislocation with diaphyseal radius and ulna fractures.The patient was treated by closed reduction technique.At six months of follow-up,the fractures were consolidated and the elbow was stable.To our knowledge,only 8 adult cases and one paediatric observation with similar lesions had been reported through medical literature.Therefore,the aim of our case report is to remind this rare entity and also to provide a comprehensive review of the literature related to this uncommon lesion.