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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Published online Apr National Center for Biotechnology InformationU.
Greenstick fracture of the ulnar shafyt with anterior dislocation of the radial head. In other projects Wikimedia Commons. Abstract The eponym Monteggia fracture-dislocation originally referred to a fracture of the shaft of the ulna accompanied by anterior dislocation of the radial head that was described by Giovanni Battista Monteggia of Italy in Early period In Cooper, from London, England, described anterior, posterior, and lateral dislocations of the radial head with fracture of the ulna shaft.
The fractured ulna fragment acts as a fulcrum ce either pushes the radial head outward of the proximal radioulnar joint or the radius is fractured in its proximal third. To identify this injury, fs is essential to have x-rays that include both monetggia elbow and forearm. IIC Figure 8C Fracture of the ulna is distal to the coronoid process, involving the metaphyseal and diaphyseal junction IID Figure 8D Fracture of the ulna which ds from the diaphysis to the olecranon. 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 ].
Clinical Practice Guidelines : Monteggia fracture-dislocations – Emergency Department
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. Ring D, Waters PM.
Lisfranc Jones March Calcaneal. Fracture of the proximal or middle third of the ulna with anterior dislocation of the radial head most common in children and young adults.
Nine year moneggia girl with type III Monteggia fracture-dislocation.
Monteggia Fractures – Trauma – Orthobullets
Normal ulna with straight border red line. MusculoskeletalTraumaPaediatrics. Rahij Anwar, Kenneth W. Articles Cases Courses Quiz.
Please ds below and help us build the most advanced adaptive learning platform in medicine. InBruce et al. The latter is less common and was not described by Monteggia. It will be painful to move the elbow in any plane. Open reduction is only necessary in the rare cases of incarceration of soft parts or a bone fragment. Case 1 Case 1. According to Reynders et al [ 3 ], open reduction of the radial head with reconstruction of the annular ligament could be responsible of a proximal synostosis between radius and ulna.
Unable to process the form. A commerative Talk on the bicentary of his birth. ,onteggia should be straight, not bowed. Who’s Who in Orthopedics. Epidemiology and treatment of monteggia lesion in adults: First, the ligament may be torn across and remain open; or it may become torn and fold behind the radial head, thus preventing its reduction and permitting further dislocation.
Dislocations and Fractures of the Joints. Lussazioni delle ossa delle estremita superiori. Revue medico-chirurgicale de Paris. A radial head dislocation is evident as shown by the radiocapitellar line white line.
The ulnar fracture is usually obvious, whereas the radial head dislocation can be overlooked, with potentially serious functional and mknteggia ramifications. The line drawn down the shaft of the radius does not pass through the centre of the capitellum asterix. After several physicians had declared him near death, Monteggia was called upon for a final examination.
A multicenter Bota study. Monteggia fracture South Med J.
Monteggia fracture-dislocations – Emergency Department
Isolated radial shaft fracture with unreducable posterior dislocation of the radial head and rupture of the lateral collateral ligament: Fracture of the shaft of ulna and radius with associated dislocation of the radial head.
Additionally, we collected information from online databases such as the History of Medicine and translated original articles from Italian and Spanish.
The radial styloid fracture was stabilized by a pin. Anterior dislocation of the radial head with fracture of the ulna shaft diaphysis. As the upper body and the arm continue to rotate outward supinatethe forearm rotates inwards pronate. Complications of ORIF surgery for Monteggia fractures ve include non-union, malunion, nerve palsy and damage, muscle damage, arthritistendonitisinfectionstiffness and loss of range of motioncompartment syndromeaudible popping or snapping, deformity, and chronic pain associated with surgical hardware such as pins, screws, and plates.