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.
|Published (Last):||19 September 2013|
|PDF File Size:||6.38 Mb|
|ePub File Size:||17.60 Mb|
|Price:||Free* [*Free Regsitration Required]|
In Monteggia reported a particular injury pattern associating a fracture of the proximal third of monteggla shaft of the ulna, with a dislocation of the monteggiq head from both the superior radio-ulnar and the radio-humeral joints [ 1 – 3 ]. Plastic deformation of the ulna. Wilson in New York and Cunningham in Oklahoma both presented large numbers of consecutive patients with elbow injuries and formally discussed the management of Monteggia fracture-dislocations.
The authors also concluded that no form of internal fixation in adults was found to be superior to the other. Anterior dislocation of the radial head with fracture of the ulna shaft diaphysis.
Infobox medical condition new All articles with unsourced statements Articles with unsourced statements from June Wiley and Galey from Ottawa, Canada presented the results of 46 children with Monteggia fracture-dislocations and suggested closed reduction and splinting in supination and elbow flexion for 3 weeks. However, his management of the injury by closed reduction and splintage was suboptimal and resulted in recurrence of the radial head subluxation.
A direct blow to the ulna produces a predictable pattern of injury that consists of a proximal ulna fracture with anterior triangular or quadrangular segment at or near the level of coronoid process together with a posterior or posterolateral dislocation of the radiocapitellar head Fig. Orthop Clin North Am. J Bone Joint Surg Br.
Scaphoid Rolando Bennett’s Boxer’s Busch’s. J Bone Joint Surg Am ; 92 3: Dislocation of the head of the radius with fracture of the ulna.
Reduction of the radial head often ensues following an anatomic reduction and internal fixation of ds ulna. How important is this topic for board examinations? The Bado classification system Table 1 describes four types.
The anterior Monteggia fracture: This is usually performed in theatre under a general anaesthetic. Incorporate in Table 1.
Monteggia Fractures – Trauma – Orthobullets
These publications discussed a variety of surgical problems such as gangrene, rheumatism, tumors, wounds, fractures, and many other diseases he encountered in his practice. The second edition, in which he described the forearm fracture-dislocation, was 8 volumes and appeared in print between and There is plastic deformation of the ulna.
Next the elbow joint was approached through a separate lateral incision.
Fracture of the proximal or middle third of the ulna and radius with dislocation of the radial head in any direction. Dislocation of the radial head with associated fracture of the ulna.
Monteggia fracture-dislocations – Emergency Department
ed Monteggia-like lesions-treatment strategies and one-year results. Acknowledgements We would like to acknowledge Dr. In another cadaveric experiment, Penrose from Coventry, England, evaluated the mechanism of Monteggia fracture-dislocations associated with posterior displacement of the head of the radius. Fracture of the ulnar metaphysis distal to coronoid process with lateral dislocation of the radial head.
Jonteggia Battista Monteggia Fig. The key treatment principle in Monteggia fractures is stable anatomic alignment of the ulna.
Support Radiopaedia and see fewer ads. Third, instead of the radial head tearing through the ligament, it may be pulled out from beneath it and come to lie anterior to an intact ligament. At the end of the treatment the arm swelling has resolved, but monheggia the dislocation of the radius that was not easy to reduce….
A historical perspective on the Essex-Lopresti injury. Bado included a group of injuries having in common a dislocation of the radial head associated with fractures at various levels of the ulna or with injuries at the wrist. Who’s Who in Orthopedics.