Monteggia fracture-dislocations consist of a fracture of the ulnar shaft with concomitant dislocation of the radial head. The ulnar fracture is usually obvious. Monteggia appreciated that the ulna fracture was linked to the radial head the term Monteggia fracture-dislocation in in his publication Thesis de Paris. Monteggia described a fracture of the proximal third of the ulna with . Reynders P, De Groote W, Rondia J, Govaerts K, Stoffelen D, Broos PL.

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It is based upon type and location of the ulnar fracture. Osteosynthesis open reduction and internal fixation of the ulnar shaft is considered the standard of care in adults. No separate figure legends required. Resection of the head and neck of the radius was reserved for a severely fractured radial head to avoid complications such as degenerative arthritis of the radiohumeral joint or recurrence of dislocation. None of the authors has a financial interest in any of the products, devices, or drugs mentioned in this manuscript.

Scherl S, Schmidt A.

Monteggia fracture-dislocations – Emergency Department

Throughout his career, he was seen as a resource of information vx constant inspiration to those around him. Please vote below and help us build the most advanced adaptive learning platform in medicine. Monteggia-fracture, unreducable, anterior dislocation.

L6 – years in practice. Introduction The original fracture pattern described by Monteggia is a fracture of the proximal third of the ulna with anterior dislocation of the radial head. There are four types depending upon displacement of the radial head: J Bone Joint Surg Br. We report a case of a Monteggia fracture were open reduction of the radial head was performed. How are they classified? Monteggia injuries in children. This case is unusual because of the association of a complete tear of the external monteggja ligament of the elbow.


Subsequently, a further classification system based on the direction of the radial head dislocation and associated fractures of the radius and ulna was proposed by Jose Luis Bado of Uruguay in Avulsion fracture Chalkstick fracture Greenstick fracture Open fracture Pathologic fracture Spiral fracture.

Views Read Edit View history. Perrin in France coined the term Monteggia fracture-dislocation in in his publication Thesis de Paris. Stanley David, Trail Ian. What is the most likely finding? During this period, a number of publications discussing Monteggia fracture-dislocations appeared in the literature, which reflected an increasing awareness and experience with this injury. HPI – Fell from her height. The forearm may look deformed if the ulna fracture fe displaced.

Traumatic pathology of antibrachial interosseous membrane of forearm.

Monteggia fracture-dislocation | Radiology Reference Article |

He then travelled to the Instituto Rizzoli in Bologna, which a the center of orthopedic surgery at the time. G Steinheil; Paris, France: Who’s Who in Orthopedics. For adults with acute injury, they advocated the use of an open reduction and fixation of the ulna fracture using vitallium plates and reduction of dislocated radial head through a single lateral incision Fig.

Clin Orthop Relat Res.

Monteggia fracture

From these original materials, we present the evolution of treatment of Monteggia fracture-dislocations over 2 centuries and summarize the lives and contributions of Monteggia and Bado. In Monteggia reported a particular injury pattern associating a fracture of the proximal third of the shaft of the ulna, with a dislocation of the radial head from both the superior radio-ulnar and the radio-humeral joints [ 1 – 3 ].


Monteghia direction is the radial head most likely dislocated? Greater disability was also noted in patients who experienced ulnohumeral dislocation when evaluated by outcome scores including the Disabilities of the Arm, Shoulder or Hand questionnaire and monteggia functional rating index of Broberg and Morrey.

In a chronic context, revising the ulnar osteosynthesis is not enough is most of the case and open reduction and repairing the annular ligament are often required [ 1 ]. Author manuscript; available in PMC Dec Thank you for rating!

Showing an X-ray of a year-old patient who had a malunion of ulna fracture that was treated with an open reduction and an osteoperiosteal graft. Similar poor results of Monteggia fracture-dislocations associated with olecranon fracture were also reported monteggi a series of 67 adult patients by Reynders etl al. Monteggia fracture-dislocations can be easily missed on x-ray. After undergoing closed reduction, the radiocapitellar joint is noted to remain non-concentric.

J Hand Surg Am. In fresh injuries, it is generally not be necessary to approach the RC joint except in the rare cases of incarceration of soft parts annular ligament or a bone fragment fracture of the radial head. Rib fracture Sternal fracture.

MaynardBS, 2 Sandeep J.

Letts acknowledged that lack of appreciation of this variant could have contributed to cases of missed Monteggia fracture-dislocations in children, and he proposed a new classification that takes equivalent lesions into consideration Table 2. HPI – previous elbow injury 3 y ago treated in slab. Case 3 Case 3.