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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Duverney fracture Pipkin fracture. Dalla Stamperia Dova; Milano, Italy: Classification and Diagnosis in Orthopaedic Trauma. We present an uncommon case of a Monteggia fracture-dislocation with an unreducable anterior dislocation of the radial head and associated with a lesion of the lateral collateral ligament of the elbow.
Loading Stack – 0 images remaining. Incorporate in Table 1. Type I is an anterior dislocation of the radial head and proximal anterior angulation of the ulnar fracture. A long dorsal contoured plate achieved healing with good alignment of a posterior Monteggia lesion.
X-rays showing a Monteggia fracture of a young man left and his 1 year-postoperative radiograph following open reduction and fixation of the ulna shaft fracture by a vitallium plate and a fascial sling to maintain the reduction monteggiia the head of the radius.
Clinical Practice Guidelines : Monteggia fracture-dislocations – Emergency Department
Introduction The original fracture pattern described by Monteggia is a fracture of the proximal third of the ulna with anterior dislocation of the tx head. Cunningham advocated an immediate reduction of the radial head with simultaneous closed reduction of the ulna fracture.
What is the most likely finding? Poor reduction of the ulna may result in persistent dislocation of the radial head.
HPI – previous elbow injury 3 y ago dde in slab. Summary Monteggia fracture-dislocations can be easily missed on x-ray. An anatomical reduction and a stable osteosynthesis through a posterior approach of the ulna is the key step of this surgery. Clin Orthop Relat Res. We report a case of a Monteggia fracture were open reduction of the radial head was performed.
Reduction of the radial head often ensues following an anatomic reduction and internal fixation of the ulna. Proximal radius was dislocated from momteggia the proximal radioulnar RU and radiocapitellar RC joints.
Monteggia fracture-dislocations: A Historical Review
The original fracture pattern described by Monteggia is a fracture of the proximal third of the ulna with anterior dislocation of the radial head. In a chronic context, revising the ulnar osteosynthesis fd not enough is most of the case and open reduction and repairing the annular ligament are often required [ 1 ].
Anterior dislocation of the radial head with fracture of the ulna shaft diaphysis. Radiographs recommended view AP and Lateral of elbow, wrist, and forearm CT scan helpful in fractures involving coronoid, olecranon, and radial head. Despite the advancements achieved in fracture fixation techniques during that period, the exact mechanism of injury, fracture configuration, and biomechanics of Monteggia fracture-dislocations were montggia not fully determined.
Greenstick fracture of the ulnar shafyt monreggia anterior dislocation of the radial head. Author manuscript; available in PMC Dec The one that is universally used is Bado’s classification.
Acta Chir Orthop Traumatol Cech. Radiographs obtained 2 years later showing an anatomical position of the radial head and the fracture was healed in good alignment. Plastic deformation of the ulna.
Fractures and Dislocations in the Region of the Elbow. We would like to acknowledge Dr. Which direction is the radial head most monteggiq dislocated? Chapter 13 Dislocations of the Elbow in Children. A perfect alignment of the ulna fracture before osteosynthesis is necessary in order to obtain the RC joint reduction. Monteggia cx can be easily missed on x-ray.