Bilateral Monteggia fracture in adults

Ristić, Dejan; Jovanovic, Nebojsa; Cvetković, Voja; Stanković, Biljana; Vracevic, Branislav

doi:10.2298/vsp1104363r

Cited by 2 publications

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“…Equivalent Monteggia can occur by associated lesions such as olecranon fracture or radial neck or head fracture.Several mechanisms of injury probably exists, including direct blows to the ulnar aspect of the forearm and a fall with hyperpronation and hyperextension, with the strong supinating force of the biceps pulling the radial head anteriorly as the fracture of the ulna is produced by the compression forces of the fall [6]. Elbow radiographs are the primary diagnostic modality, demonstrating dislocation when a line drawn extending through the radial head from the radial shaft does not penetrate the capitellum in all views [7] Adolescents often achieve a better prognosis. Non-operative management with closed reduction and cast immobilization often prevails in pediatric patients, dictated by the pattern of the ulnar fracture more so than the direction of the radial head dislocation [8].…”

Section: Discussionmentioning

confidence: 99%

Case Report: A Rare Variety of Type 4 Monteggia Fracture Dislocation in A 28 Years Old Man

Bandyopadhyay¹

2012

OJO

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A Monteggia fracture is a fracture of the proximal ulna coupled with a radial head dislocation. Numerous classification systems have been developed to characterize these fractures. Bado classification is most commonly used. Bado type 1 Monteggia fractures are most common while type 3 & 4 are rare entities. In our case, after confirming the diagnosis as type 4 Bado Monteggia fracture dislocation, patient was posted for open reduction and internal fixation. The ulnar and radial fractures were rigidly fixed with 3.5 compression plate and ulnar length restored. However, the radial head was still found to be dislocated anteriorly on fluoroscopy. An attempt of closed reduction of the radial head failed. 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. 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. Further follow up at 6 months and 1 year showed complete return of routine function. 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. However, in cases of both bone forearm fracture with radial head dislocation, even after restoring the length of ulna and radius, operative reducetion of radial head is essential.

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Section: Discussionmentioning

confidence: 99%

Case Report: A Rare Variety of Type 4 Monteggia Fracture Dislocation in A 28 Years Old Man

Bandyopadhyay¹

2012

OJO

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“…Monteggia fractures are bone fractures of the forearm on the ulnar or ulna with dislocation of the radial head. These fractures have been described for the first time by Giovanni Battista Monteggia in 1814 [1]. They are more common in children but are rare in adults and are only 1% to 2% of fractures of the upper limb.…”

Section: Introductionmentioning

confidence: 99%

Monteggia Bilateral Fracture: A Case Study

Traoré¹,

Sidibe²,

Moussa³

et al. 2019

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The authors report a rare case of Monteggia bilateral fracture combining bifocal fracture of the left ulna to a mid-shaft fracture of the radius with dislocation of the radial head and on the right; a fractured ulna with dislocation of the radial head occurring in a patient of 31 years after an accident of the public highway. In emergency, the treatment consisted of a fixation with radius special plates and a left pin ulnar upper radio. The evolution was marked by a good consolidation and after six months the patient had resumed operations.

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Bilateral Monteggia fracture in adults

Abstract: Surgical treatment and early rehabilitation is the key for the return of good function of both elbows.

Cited by 2 publications

References 4 publications

Case Report: A Rare Variety of Type 4 Monteggia Fracture Dislocation in A 28 Years Old Man

Case Report: A Rare Variety of Type 4 Monteggia Fracture Dislocation in A 28 Years Old Man

Monteggia Bilateral Fracture: A Case Study

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