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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The main step in the surgical treatment monteggia Monteggia fractures is anatomic reduction and stable osteosynthesis. This is why litigation is common.
L6 – years in practice.
Typical fracture pattern of posterior variant of Monteggia lesion as described monteggix Penrose. Anterior bend of the ulnar shaft with anterior dislocation of the radial head Plastic deformation.
L7 – years in practice. It is a fracture of the radius with a dislocation of the proximal radio-ulnar and the radio-capitellar joints [ 1 ].
D ICD – J Bone Joint Surg Am. The Monteggia fracture is a fracture of the proximal third of the ulna with dislocation of the proximal head of the radius.
Revue medico-chirurgicale de Paris. Discussion 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 ].
Table 1 Bado Classification of Monteggia lesions including equivalent lesions. Several other reports showed conflicting evidence regarding the best nonteggia of treatment and long-term outcomes. Excision of the radial head and replacement with prosthesis should be considered in displaced and severely comminuted fractures Fig 9.
We report a case of a Monteggia fracture were open reduction of the radial head was performed. However there was no recurrence of ulnohumeral instability following lateral collateral ligament reconstruction.
Monteggia fracture – Wikipedia
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. However if montgegia ulna has a greenstick fracture or ‘plastic bowing’, deformity is mild and the fracture can be easily missed. Monteggia fracture-dislocation X-ray of Monteggia fracture of right forearm The Monteggia fracture is a fracture of the proximal third of the ulna with dislocation of the proximal head of the radius.
The injury is usually a neuropraxia. These fractures are a less common injury compared to forearm fractures. Bado reported the treatment outcomes of 22 adults and 18 children, the majority of whom experienced from acute injuries. Pronation injuries of the forearm, with special reference to the anterior Monteggia fracture.
The anterior Monteggia fracture: In the forearm, the radius is relatively mobile and rotates around the ulna that is fixed proximally by its articulation with the humerus and distally by the triangular fibrocartilage.
Scaphoid Rolando Bennett’s Boxer’s Busch’s. How are they classified? Case 2 Case 2. The ligamentous support of the radial head, namely annular ligament, has also received a considerable attention in the literature.
Further studies with larger number of patients might be required to further study the impact of soft-tissue stabilizers and their repair on the functional outcome of the elbow joint following posterior type II Monteggia fracture-dislocations.
InBruce et al. J Hand Surg Am. Pan Afr Med J. What management should be offered? Ring D, Waters PM. Radiographs recommended view AP and Lateral of elbow, wrist, and forearm CT scan helpful in fractures involving coronoid, olecranon, and radial head. What are the potential complications associated with this injury? Posterior dislocation of the radial head with fracture of the ulna shaft diaphysis or metaphysis.
The original fracture pattern described by Monteggia is a fracture of the proximal third of the ulna with anterior dislocation of the radial head.
Cervical fracture Jefferson fracture Hangman’s fracture Flexion teardrop fracture Clay-shoveler fracture Burst fracture Compression fracture Chance fracture Holdsworth fracture.
Irreducible isolated dislocation of the radial head: What advice cx I give to parents? Posterior approach was used and Ulna shaft fracture was reduced and fixed with an 8-hole 3. He stated that as a person re on the outstretched hand, a strong contraction of the biceps muscle causes anterior dislocation of the radial head.
Note replacement of radial head with radial head prothesis that moonteggia adequate articulation at the radiocapitellar joint. This case is unusual because of the association of a complete tear of the external collateral ligament of the elbow.
Radiographs obtained 2 years later showing an anatomical position of the radial head and jonteggia fracture was healed in good alignment. Monteggia fracture-dislocations – Emergency Department.
The ulnar fracture is usually obvious, whereas the radial head dislocation can be overlooked, with potentially serious functional and medico-legal ramifications.