Treatment differs from adult Monteggia fractures approach if needed in chronic (> weeks old) Monteggia fractures where radial head still. Download Citation on ResearchGate | Fractura Luxación de Monteggia | A fracture of the upper shaft of the ulna, associated with a dislocation of the head of the. arwiki كسر مونتيجيا; cswiki Monteggiova zlomenina; dewiki Monteggia-Fraktur; enwiki Monteggia fracture; eswiki Fractura de Monteggia; frwiki Fracture de.
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The ulnar fracture is usually obvious, whereas the radial head dislocation can be overlooked, with potentially serious functional and medico-legal ramifications.
The direction of radial head dislocation depends on whether abduction or adduction forces were applied during the fall 1. As is usually the case, in everyday practice, describing moonteggia fracture-dislocation is far more important than remembering the grade.
Monteggia fractures occur mostly in children peak incidence at ages years and rarely in adults. When a forearm fracture is identified, dedicated imaging of both the elbow and the wrist is important and good quality AP and lateral views are essential. Provided that films of adequate quality are obtained, the ulnar fracture is usually obvious and the radial head dislocation should be readily identifiable.
All four types of Monteggia fracture-dislocations see Bado classification are treated with open reduction and internal fixation.
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Tuson, Shah Alam Khan. Classification and Diagnosis in Orthopaedic Trauma.
Monteggia fractures in adults: J Bone Joint Surg Br. Edit article Share article View revision history. MusculoskeletalTraumaPaediatrics.
Synonyms or Alternate Spellings: Monteggia fracture dislocation Monteggia fracture. Support Radiopaedia and see fewer ads.
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