Monteggia fracture
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McLaurin, “Incarceration of the Radial Head Associated with a Radial Head Fracture, Radio Capitellar Dislocation, and Proximal Radioulnar Translocation,” Journal of Orthopaedic Trauma, Vol. Slavkovi?, “Treatment of Missed Monteggia Lesion in Children: Case Report,” Srpski Arhiv Za Celokupno Lekarstvo, Vol. Vracevi?, “Bilateral Monteggia Fracture in Adults,” Vojnosanitetski Pregled, Vol. Viskontas, “A Fragment-Specific Approach to Type IID Monteggia Elbow Fracture-Dislocations,” Journal of Orthopaedic Trauma, Vol. Lim, “Complex Elbow Dislocation Associated with Radial and Ulnar Diaphyseal Fractures: A Rare Combination,” Strategies in Trauma and Limb Reconstruction, Vol. Modi, “Monteggia Fracture Dislocation Equivalents: Ana- lysis of Eighteen Cases Treated by Open Reduction and Internal Fixation,” Chinese Journal of Traumatology, Vol. Monteggia fracture-dislocation variants have been well documented in adults but most of the literature in the pediatric population is in the form of case. Autefage, “Type IV Monteggia Fracture in a Cat,” Veterinary and Comparative Orthopaedics and Traumatology, Vol. Beutel, “Monteggia Fractures in Pediatric and Adult Populations,” Orthopedics, Vol. Noonan, “Ulnar Fracture with Late Radial Head Dislocation: Delayed Monteggia Fracture,” Orthopedics, Vol. However, in cases of both bone forearm fracture with radial head dislocation, even after restoring the length of ulna and radius, operative reduction of radial head is essential.Ī. As soon as the ulnar length is restored by rigid internal fixation, radial head is itself reduced in majority of Monteggia fracture dislocation where only ulnar fracture is involved. Further follow up at 6 months and 1 year showed complete return of routine function. The patient followed up at the end of 2 weeks, 4 weeks and 6 weeks following injury and gradual mobilisation of the elbow joint was made. Monteggia fracture-dislocations Monteggia fracture-dislocation (first described by Giovanni Battista Monteggia in 1814) refers to a fracture of the proximal. Open reduction of the radial head was performed under image intensifier and fixed with a Kirschner’s wire followed by immobilization in hyperflexion for 2 weeks. Problems with the elbow related to fractures of the coronoid process and the radial head, which are common with Bado type-II Monteggia fractures, remain the most challenging elements in the treatment of these injuries. An attempt of closed reduction of the radial head failed. The posterior (Bado type-II) fracture is the most common type of Monteggia fracture in adults. However, the radial head was still found to be dislocated anteriorly on fluoroscopy. The ulnar and radial fractures were rigidly fixed with 3.5 compression plate and ulnar length restored. In our case, after confirming the diagnosis as type 4 Bado Monteggia fracture dislocation, patient was posted for open reduction and internal fixation. Those requiring a secondary procedure after an initial failed treatment in another hospital (other than the application of an external fixator) were classified as a second-stage or salvage procedure. Bado type 1 Monteggia fractures are most common while type 3 & 4 are rare entities. Neglected Monteggia fracture was defined as presentation to the pediatric orthopedic surgeons over 2 weeks after the time of injury. Bado classification is most commonly used. Numerous classification systems have been developed to characterize these fractures. Fracture in the proximal half of the shaft of the ulna, with dislocation of the head of the radius.A Monteggia fracture is a fracture of the proximal ulna coupled with a radial head dislocation.