$monteggia fracture i$

$monteggia fracture i$

There may be elbow swelling and pain in addition to an obvious forearm (ulna) fracture. Isolated ulna shaft fractures are rare, always look for a radial head dislocation. This article reviews the relevant anatomy and pathogenesis, classification, clinical presentation, diagnostic studies, management, outcomes, and complications of Monteggia fractures in children and adults. Proximal or mid-third ulna fracture, with an associated dislocation of the radial head. Although the orthopedic community's understanding of these fractures has evolved, the fractures themselves remain a challenging clinical phenomenon. However, in adults, operative intervention is frequently indicated because angulation and shortening of the ulna often occur after closed reduction. Nonoperative management with closed reduction and cast immobilization often prevails in pediatric patients, dictated by the pattern of the ulnar fracture more so than the direction of the radial head dislocation. Notable differences exist in the prevalence, treatment, and outcomes of Monteggia fractures for pediatric and adult patient populations, with adolescents often achieving a better prognosis. Elbow radiographs are the primary diagnostic modality, demonstrating dislocation when a line drawn extending through the radial head from the radial shaft does not penetrate the capitellum in all views. Numerous classification systems have been developed to characterize these fractures, with the Bado classification being the most common. These fractures are an uncommon class of forearm fractures. Turner RC, Ho CA (2019) Monteggia fractures: pearls and pitfalls.A Monteggia fracture is a fracture of the proximal ulna coupled with a radial head dislocation. Souder CD, Roocroft JH, Edmonds EW (2017) Significance of the lateral humeral line for evaluating radiocapitellar alignment in children. Silberstein MJ, Brodeur AE, Graviss ER (1979) Some vagaries of the capitellum. Ring D, Waters PM (1996) Operative fixation of Monteggia fractures in children. Ramski DE, Hennrikus WP, Bae DS, Baldwin KD, Patel NM, Waters PM, Flynn JM (2015) Pediatric Monteggia fractures: a multicenter examination of treatment strategy and early clinical and radiographic results. Ramirez RN, Ryan DD, Williams J, Wren TA, Ibrahim D, Weiss JM, Kay RM, Lightdale-Miric N, Skaggs DL (2014) A line drawn along the radial shaft misses the capitellum in 16% of radiographs of normal elbows. Monteggia GB (1814) Lussazioni delle ossa delle estremita superiori. Letts M, Locht RA, Wiens JO (1985) Monteggia fracture-dislocations in children.

$monteggia fracture i$

Kunkel S, Cornwall R, Little K, Jain V, Mehlman C, Tamai J (2011) Limitations of the radiocapitellar line for assessment of pediatric elbow radiographs. Fracture of the ulna and dislocation of the radial head. J Pediatr Orthop 37(6):e335–e341įowles JV, Sliman N, Kassab MT (1983) The Monteggia lesion in children.

$monteggia fracture i$

Orthop Clin North Am 21(2):251–256įoran I, Upasani VV, Wallace CD, Britt E, Bastrom TP, Bomar JD, Pennock AT (2017) Acute pediatric Monteggia fractures: a conservative approach to stabilization. J Pediatr Orthop 36:S67–S70ĭormans JP, Rang M (1990) The problem of Monteggia fracture-dislocations in children. The term Monteggia variant refers to additional traumatic pathologies around the elbow (e.g. Clin Orthop Relat Res 50(1):71–86īae DS (2016) Successful strategies for managing Monteggia injuries. The classical Monteggia fracture dislocation was first described by Giovanni Battista Monteggia in 1814 as a proximal ulna fracture in combination with a dislocation of the radiocapitellar and the proximal radioulnar joint.

$monteggia fracture i$