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.
| Author: | JoJohn Faektilar |
| Country: | Andorra |
| Language: | English (Spanish) |
| Genre: | Marketing |
| Published (Last): | 16 March 2017 |
| Pages: | 255 |
| PDF File Size: | 7.17 Mb |
| ePub File Size: | 8.96 Mb |
| ISBN: | 273-2-99416-796-3 |
| Downloads: | 18879 |
| Price: | Free* [*Free Regsitration Required] |
| Uploader: | Kazradal |
One can hope that their contributions will be long remembered and celebrated. IIC Figure 8C Fracture of the ulna monheggia distal to the coronoid process, involving the metaphyseal and diaphyseal junction IID Figure 8D Fracture of the ulna which extends from the diaphysis to the olecranon.
To provide feedback, please email rch. The injury is usually a neuropraxia. There may be montegyia swelling around the elbow, but the degree is variable.
Monteggia fracture-dislocations: A Historical Review
L7 – years in practice. The mpnteggia Monteggia fracture: Pan Afr Med J. Open reduction is only necessary in the rare cases of incarceration of soft parts or a bone fragment.
Maisonneuve fracture Le Fort fracture of ankle Bosworth fracture. Stanley David, Trail Ian. Perrin in France coined the term Monteggia fracture-dislocation in in his publication Thesis de Paris.
Dislocation of the head of dx radius with fracture of the ulna. Duverney fracture Pipkin fracture. Received Jun 8; Accepted Feb 8. Physical examination showed swelling of the elbow and upper forearm and an obvious deformity.
Turnes from Montevideo, Uruguay for sharing biographical information and photographs of Prof. Please review our privacy policy.
We report a case of a Monteggia fracture were open reduction of the radial head was performed. He treated it by an open reduction technique instead dde fracture manipulation and closed reduction that was traditionally used to treat forearm fractures at that time. The posterior border of the ulna should also be assessed. 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.
The patient in our report had a successful clinical outcome and montegyia range of motion after rigid fixation of the ulnar shaft fracture and exploration of the elbow joint, reduction of the radial head and repair of the lateral collateral ligament.
The treatment of malunited anterior Monteggia fractures in children. The radial head was reduced and then the lateral collateral ligament was repaired Figure 4. 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.
The posterior Monteggia lesion with associated ulnohumeral instability. Lisfranc Jones March Calcaneal. Open in a separate window. They did not explain the mechanism involved with other patterns of Monteggia fracture-dislocations such as fracture of the ulna shaft with posterior or posterolateral dislocation of the radial head.
Monteggia fracture-dislocations: A Historical Review
Table 1 Bado Classification of Moonteggia lesions including equivalent lesions. D ICD – Monteggia fracture-dislocations – Fracture clinics.
Konteggia reported 4 cases including a patient who experienced paralysis of the extensor muscles of the forearm owing to injury of the posterior interosseous nerve that was caused by the dislocated head of the radius. A long dorsal contoured plate achieved healing with good alignment of a posterior Monteggia lesion. Radiographs obtained 2 years later showing a consolidated fracture of the radial styloid. However if the ulna has a greenstick fracture or ‘plastic bowing’, deformity is mild and the fracture can be easily missed.
Irreducible Monteggia lesion with radial-nerve entrapment: In the forearm, the radius is relatively mobile and rotates around the ulna that is fixed proximally by its articulation with the humerus and distally by the triangular fibrocartilage.
,onteggia
Demonstrating another method of fixation of Monteggia fracture using intramedullary pins as described by Thomas and Hamilton. The evolution of management of Monteggia fracture-dislocations can be considered in 3 chronological periods. A practical treatise on fractures and dislocations.