Monteggia-Type Elbow Fractures in Childhood

Papavasiliou, Vasilios; Nenopoulos, Savas P.

doi:10.1097/00003086-198808000-00029

Cited by 10 publications

(5 citation statements)

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“…In many studies in the past, complete painless ROM was seen in most of the patients treated only conservatively, and good to excellent results were reported. 3,4,9,10,[12][13][14][15][16][17][18] However, some authors claim that conservative treatment cannot be applied in every Monteggia injury. 2,19 They strongly argue in favor of surgical stabilization, especially according to the pattern of the ulna fracture.…”

Section: Discussionmentioning

confidence: 99%

“…Therefore, the treatment of these patients is more complicated and different from acute cases. In many studies in the past, complete painless ROM was seen in most of the patients treated only conservatively, and good to excellent results were reported 3,4,9,10,12–18. However, some authors claim that conservative treatment cannot be applied in every Monteggia injury 2,19.…”

Section: Discussionmentioning

confidence: 99%

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Surgical Treatment With Titanium Elastic Nail (TEN) for Failed Conservative Treatment of Acute Monteggia Lesions in Children

Öztürk

Erpala²,

Zengin

et al. 2021

Journal of Pediatric Orthopaedics

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Background: This study evaluated the results of intramedullary osteosynthesis with titanium elastic nail (TEN) in the surgical treatment of Monteggia lesions in children aged 12 and under. Methods: Patients who underwent surgery with the TEN method between 2013 and 2019 were screened retrospectively. The inclusion criteria were patients who failed conservative treatment, a history of acute trauma (< 14 d after injury), age 12 years and under, patients who underwent intramedullary osteosynthesis with TEN when surgical treatment is required, a follow-up period of over 12 months, absence of congenital upper extremity and bone anomalies, and no history of trauma to the ipsilateral elbow. For functional classification, the Grace and Eversmann Criteria were used to evaluate union, pronation, and supination, while the Mayo Elbow Performance Score was used to assess overall elbow function and limitations. Results: Thirty-eight patients (26 male/12 female) were included in the study. The median age was 8.0 (6 to 10) years old and follow-up period was 26.0 (16 to 39) months. The mean value of the Mayo Elbow Performance Score was 97.1, 32 cases were excellent and 6 cases had good results. While the average age was 9.4 years in patients with mobility limitations, it was 7.1 years in patients without mobility limitations. Statistically, less movement restriction was observed in patients of younger age. Conclusion: Length unstable ulnar fracture pattern for Monteggia lesions and those with secondary loss of reduction, intramedullary stabilization of the ulna fracture with TEN helps to achieve good functional and radiologic outcomes.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Surgical Treatment With Titanium Elastic Nail (TEN) for Failed Conservative Treatment of Acute Monteggia Lesions in Children

Öztürk

Erpala²,

Zengin

et al. 2021

Journal of Pediatric Orthopaedics

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“…Orthogonal radiographs obtained 3 months following the initial injury revealed chronic anterior dislocation of the radial head and malunion of the ulna. The high incidence of redislocation of the radial head after either spontaneous [ 21, 40 ] or closed reduction [ 10, 29 ] despite cast immobilization requires serial anteroposterior and lateral radiographs of the elbow be obtained and the radiocapitellar relationship evaluated with the radiocapitellar line on each film.…”

Section: Discussionmentioning

confidence: 99%

Persistent Posterior Interosseous Nerve Palsy Associated with a Chronic Type I Monteggia Fracture-Dislocation in a Child: A Case Report and Review of the Literature

Ruchelsman

Pasqualetto

Price

et al. 2008

Hand (New York, N,Y.)

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We present a rare case of persistent complete posterior interosseous nerve palsy associated with a chronic type I Monteggia elbow fracture-dislocation consisting of anterior dislocation of the radial head and malunion of the ulna in an 8-year-old child requiring surgical treatment. Posterior interosseous nerve neuropraxia following acute Monteggia injury patterns about the elbow has been described and is thought to be secondary to traction or direct trauma. The condition typically resolves following successful closed reduction of the radial head. This report describes combined treatment of the nerve and skeletal injury for the chronic type I Monteggia injury. The literature is reviewed, and diagnostic challenges with and treatment options for chronic Monteggia fracture-dislocations in children are discussed.

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“…The anterior and lateral dislocation of the proximal radius and the apex radial (varus) and anterior angulation of the proximal ulna confirmed that this was a type I/III Monteggia lesion. 8 –16 The patient also had a posterior interosseous nerve (PIN) palsy resulting in drop fingers and thumb. This was further confirmation that this was a hybrid type I/III lesion.…”

Section: Case Reportmentioning

confidence: 99%

The mechanism of injury of a hybrid Bado type I/III Monteggia lesion: Analysis of a live recording from a gymnastics injury

Wilkins

Chau

2019

Journal of Orthopaedics, Trauma and Rehabilitation

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The injury mechanism of a case of hybrid Bado type I/III Monteggia fracture had been recorded live by the parent of a gymnast in a competition. This live recording was generously offered by the parent to the treating surgeon to study the injury mechanism. The video captured was segmented by slow motion frames to study the whole process of the injury mechanism. The injury mechanism was analyzed by the authors jointly to verify the interpretation of the loading mechanism and the resultant injury. The patient had been treated with conventional method with satisfactory result.

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Monteggia-Type Elbow Fractures in Childhood

Cited by 10 publications

References 0 publications

Surgical Treatment With Titanium Elastic Nail (TEN) for Failed Conservative Treatment of Acute Monteggia Lesions in Children

Surgical Treatment With Titanium Elastic Nail (TEN) for Failed Conservative Treatment of Acute Monteggia Lesions in Children

Persistent Posterior Interosseous Nerve Palsy Associated with a Chronic Type I Monteggia Fracture-Dislocation in a Child: A Case Report and Review of the Literature

The mechanism of injury of a hybrid Bado type I/III Monteggia lesion: Analysis of a live recording from a gymnastics injury

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