Orthopedics Book


Monteggia's Fracture

Aka: Monteggia's Fracture, Monteggia's Dislocation
  1. Signs
    1. Ulna Fracture (Proximal third)
    2. Radial Head Dislocation
  2. Radiology: Forearm XRay
    1. Ulna Fracture may not be obvious (greenstick Fracture)
    2. Radial Head Dislocation may be overlooked
    3. Xray joint above and below Forearm (standard protocol)
      1. Wrist XRay
      2. Elbow XRay
  3. Management
    1. Child: Closed reduction may suffice
    2. Adult: Open reduction and internal fixation (ORIF)

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