- dislocation of radial head may be missed, eventhough frx of ulna is obvious (need AP, lateral and olbique X-rays of elbow) Pathology of the annular ligament in paediatric Monteggia fractures. Treatment may be closed reduction and casting for length stable ulna fractures with a stable radiocapitellarjoint. Medscape Education. 2023 Lineage Medical, Inc. All rights reserved. Orthopedics. (0/1), Level 5 Bado JL. Neglected Monteggia fracture: a review - eor Monteggia Fractures - Trauma - Orthobullets Monteggia lesions in children and adults: an analysis of etiology and long-term results of treatment. Monteggia fracture-dislocation is rare in children 2,3,4. - paralysis of deep branch of radial nerve is most common; Am J Orthop (Belle Mead NJ). PDF Variants of Monteggia Type Injury: Case Reports Instituzioni Chirrugiche. [2]. Dhoju D, Parajuli B. Functional Outcome of Pediatric Monteggia Fracture Dislocation Treated Surgically in a Tertiary Care Centre of Nepal. Surgical Treatment of Neglected Adult Monteggia Fracture - ResearchGate Stable anatomic reduction of the ulnar fracture results in anatomic reduction of the radial head. Kevin Strohmeyer, MD Consulting Surgeon, Department of Orthopedic Surgery, Darnall Army Community Hospital, Kevin Strohmeyer, MD is a member of the following medical societies: American Academy of Orthopaedic Surgeons. [Full Text]. - spontaneous recovery is usual & exploration is not indicated; - Radiographs: [3]. Monteggia Fractures in Children - Wheeless' Textbook of Orthopaedics The pediatric Monteggia fracture. - Post - Orthobullets The anular (annular) and radial collateral ligaments stabilize the radial head. 1967; 50:71-86. The mechanism of injury is most often a fall on an outstretched hand. Stitgen A, McCarthy JJ, Nemeth BA, Garrels K, Noonan KJ. J Pediatr Orthop. The eponymous term "Monteggia fracture" is most precisely used to refer to dislocation of the proximal radioulnar joint in association with a forearm fracture. The treating physician may reduce an unrecognized dislocation while reducing or immobilizing the ulna fracture.
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