missed monteggia
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2020 ◽  
Vol 21 ◽  
pp. 207-212
Author(s):  
Hüseyin Bilgehan Çevi̇k ◽  
Fatih Yuvaci ◽  
Engin Ecevi̇z ◽  
Güven Bulut


2020 ◽  
Vol 48 (8) ◽  
pp. 030006052094907
Author(s):  
Weizheng Zhou ◽  
Lianyong Li ◽  
Mingzhang Mu

Objective Missed Monteggia fractures are commonly observed among children. Both the interval from the injury to surgery and the patient’s age at operation are thought to be correlated directly with the success of the surgery and prognosis. The aim of the present work was to report one interesting adult case of a missed Monteggia fracture with an intact annular ligament 9 years after injury and the outcomes at a 7-year follow-up. Case description One missed lesion with a 9-year delay for surgery occurred in a skeletally mature individual, and it was treated by open reduction and ulnar angulation and elongation osteotomy. The annular ligament was interpositioned intact in the radiocapitellar joint, and therefore, instead of the annular ligament reconstruction (ALR), relocation was performed. Results After one revision surgery for the complication of nonunion, good radiographic and functional outcomes were eventually sustained at the 7-year follow up. Conclusion Good radiographic and functional outcomes can be expected in adult patients in whom the annular ligament is intact and interpositioned, and this was treated by open reduction and ulnar osteotomy 9 years after the initial injury in our patient.



2020 ◽  
Vol 40 (10) ◽  
pp. e916-e921
Author(s):  
Evan T. Zheng ◽  
Peter M. Waters ◽  
Carley B. Vuillermin ◽  
Kathryn Williams ◽  
Donald S. Bae


2020 ◽  
Vol 30 (6) ◽  
pp. 1017-1024 ◽  
Author(s):  
Piyanuch Musikachart ◽  
Nanthaya Tisavipat ◽  
Perajit Eamsobhana


2019 ◽  
Vol 28 (3) ◽  
pp. 256-266 ◽  
Author(s):  
Giovanni Gallone ◽  
Giovanni Trisolino ◽  
Stefano Stilli ◽  
Giovanni L. Di Gennaro


2019 ◽  
Vol 12 (6) ◽  
pp. 422-431
Author(s):  
LC Langenberg ◽  
ACH Beumer ◽  
B The ◽  
KLM Koenraadt ◽  
D Eygendaal

Introduction The treatment of chronic radial head dislocations after Monteggia lesions in children can be challenging. This article provides a detailed description of the most frequently performed surgical technique: an ulna osteotomy followed by annular ligament reconstruction. Accordingly, we present the clinical and radiological results of 10 paediatric cases. Material and methods All paediatric patients that had a corrective osteotomy of the ulna for a missed Monteggia lesion between 2008 and 2014 were evaluated with standard radiographs and clinical examination. A literature search was performed to identify the relevant pearls and pitfalls of surgery. Primary outcome was range of motion. Results We included 10 patients, with a mean follow-up of 2.5 years. Postoperative range of motion generally improved 30.7°. Even in a patient with obvious deformity of the radial head, range of motion improved after surgery, without residual dislocation of the radial head. Conclusion Corrective proximal ulna osteotomy with rigid plate fixation and annular ligament reconstruction yields good results in patients with chronic radial head dislocation following a Monteggia lesion. Surgery should be considered regardless of patient age or time since trauma. Given substantial arguments in literature, we discourage surgery if a CT scan shows dome-shaped radial head dysmorphic features in work-up to surgery.



2019 ◽  
Vol 11 (1) ◽  
pp. 102-108 ◽  
Author(s):  
Qiang Wang ◽  
Meng-meng Du ◽  
Xin-jian Pei ◽  
Jun-zhong Luo ◽  
Ya-zhou Li ◽  
...  


2018 ◽  
Vol 27 (11) ◽  
pp. e337-e343 ◽  
Author(s):  
Bruno Stragier ◽  
Luc De Smet ◽  
Ilse Degreef


2017 ◽  
Vol 3 (3e) ◽  
pp. 309-312
Author(s):  
Ajeet singh ◽  
Dr Rakesh Kumar ◽  
Dr Rajni Ranjan ◽  
Dr Shakeel Ahmad


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