Elbow

Monteggia's Fracture

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Monteggia's Fracture, Monteggia's Dislocation, Monteggia Fracture, Monteggia fracture dislocation

  • Signs
  1. Proximal third ulna Fracture of shaft (typically displaced)
  2. Proximal Radial Head Dislocation
    1. Risk of Radial Nerve injury
  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
  • Management
  1. Child: Closed reduction may suffice
  2. Adult: Open reduction and internal fixation (ORIF)