Ulnar Fracture With Late Radial Head Dislocation: Delayed Monteggia Fracture

Orthopedics ◽  
2012 ◽  
Author(s):  
Andrea Stitgen ◽  
James J. McCarthy ◽  
Blaise A. Nemeth ◽  
Kathryn Garrels ◽  
Kenneth J. Noonan
Author(s):  
Michael O’Keeffe ◽  
Kiran Khursid ◽  
Peter L. Munk ◽  
Mihra S. Taljanovic

Chapter 15 discusses radius and ulna trauma. Forearm fractures are common and may be isolated to the ulna or more commonly involve both bones. Fractures of the radius or ulna are usually because of direct trauma and are often displaced. Depending on their complexity, isolated fractures of the ulnar diaphysis may be treated nonoperatively or operatively whereas both bone (radius and ulna) diaphyseal fractures are typically treated operatively. Galeazzi fracture-dislocations are comprised of radial diaphyseal fractures in association with distal radioulnar joint (DRUJ) dislocation/subluxation. Monteggia fracture-dislocations are comprised of a proximal ulnar fracture in association with radial head dislocation. In type IV Monteggia injuries, there is an additional fracture of the proximal radial diaphysis. Essex-Lopresti fracture-dislocations include radial head fractures in association with DRUJ dislocation/subluxation.


2006 ◽  
Vol 19 (03) ◽  
pp. 184-186 ◽  
Author(s):  
N. N. Prassinos

SummaryA 5-month-old German shepherd dog with a combination of a proximal radial physeal fracture and a proximal ulnar diaphyseal comminuted fracture, with cranial displacement of their distal fragment, was presented. This fractures combination resembles type I Monteggia fracture. After surgical reduction of the fractures, three full-cerclage wires were used to stabilize the ulnar fracture, and two positional screws were placed across the radius and ulna immediately distally to the growth plate to hold these bones in apposition. Four weeks post-operatively, the screws were removed since sufficient callus had been formed and the dog was free of lameness. It seems that if the appropriate conditions for a type I Monteggia fracture develop in an immature dog, proximal radial physeal fracture instead of radial head luxation may accompany ulnar diaphyseal fracture.


2016 ◽  
Vol 25 (5) ◽  
pp. 450-453 ◽  
Author(s):  
Masahiro Nishimura ◽  
Toshiro Itsubo ◽  
Emiko Horii ◽  
Masanori Hayashi ◽  
Shigeharu Uchiyama ◽  
...  

1990 ◽  
Vol 4 (4) ◽  
pp. 458-462 ◽  
Author(s):  
Daniel J. Pereles ◽  
Panos A. Labropoulos

2018 ◽  
Vol 42 (9) ◽  
pp. 2165-2172 ◽  
Author(s):  
Hsuan-Yu Chen ◽  
Kuan-Wen Wu ◽  
Zheng-Ren Dong ◽  
Shier-Chieg Huang ◽  
Ken N. Kuo ◽  
...  

1990 ◽  
Vol 4 (4) ◽  
pp. 458-462 ◽  
Author(s):  
Daniel J. Pereles ◽  
Panos A. Labropoulos

2014 ◽  
Vol 2014 ◽  
pp. 1-4
Author(s):  
Neil Segaren ◽  
Hani B. Abdul-Jabar ◽  
Nicholas Segaren ◽  
Matthew Barry

The Monteggia fracture is relatively rare. We present an unreported configuration of a traumatic olecranon fracture with a concomitant medial radial head dislocation in a 3-year-old male. This injury was initially missed and required a subsequent operative intervention. Following surgery, there was evident fracture union, articular congruency, and a full functional recovery. Medial radial head dislocation is not accounted for in the Bado (1967) classification of the Monteggia lesion and hence we propose the addition of a Bado V category.


2011 ◽  
Vol 24 (06) ◽  
pp. 483-486 ◽  
Author(s):  
T. Lopez ◽  
A. Autefage ◽  
I. Irubetagoyena

SummaryA one-year-old neutered male cat was referred for a grade IIIA open radius and ulna fracture. The mid-diaphyseal radial and ulnar fractures were associated with lateral radio-humeral and radio-ulnar dislocations. From these abnormalities, a diagnosis of type IV Monteggia fracture was made. The annular ligament was found to be intact on examination and the radial head was correctly positioned and stable after fracture reduction and plate fixation. Eighteen months postoperatively, the cat did not exhibit any signs of lameness or any signs of pain on palpation and mobilisation. Signs of mild osteoarthritis were present on radiographs.Type IV Monteggia fractures are very rare in animals. The combination of a radial head dislocation with an intact annular ligament is uncommon. This pattern allowed a single reconstruction with two plates without a radio-ulnar screw.


Sign in / Sign up

Export Citation Format

Share Document