![]() ![]() Waters PM, Skaggs, DL, Flynn JM, eds Rockwood and Wilkins Fractures in. When the opposite occurs (that is, the radius breaks and shortens), the distal radio-ulnar joint dislocates, resulting in the Galeazzi or "reverse Monteggia" fracture. Monteggia Fracture-Dislocation in Children. Radiography showed displaced and comminuted olecronon fracture with radial head. ![]() When the ulna is fractured and shortened, the proximal radio-ulnar joint dislocates (the Monteggia fracture). Type IIA Monteggia Fracture Dislocation with Ipsilateral Distal Radius. The goal of this paper is to describe our three-step approach to the treatment of acute Monteggia lesions based on the stability and radiological appearance of the fracture dislocation, to give an overview of possible pitfalls and clinical and radiological signs that aid the diagnostic process. The goal of this paper is to describe our three-step approach to the treatment of acute Monteggia lesions based on the stability and radiological appearance of the fracture dislocation, to give an. The proximal and distal joints must be carefully scrutinized in every fracture of the forearm. In fractures of the forearm, any shortening of one bone of the forearm necessitates either a fracture of the other with equivalent shortening, or a dislocation at the proximal or distal radio-ulnar joint (Fig 1). Mistakes in their management account for a high incidence of poor results. Fracture of the radius and ulna is generally observed in around 75 ofcases, where thefracture site most frequently observed is the distal third of the ulnar diaphysis.2 A Monteggia lesion46 (also called Monteggia fracture)712 is a fracture of the proximal third of the ulnar diaphysis associated with luxation of the radial head.4 Four. T he eponymous Monteggia fracture, first identified by Dr Giovanni Battista Monteggia and later classified by Dr Jose Luis Bado, was originally described as a fracture at the proximal ulna associated with a dislocation of the radiocapitellar joint. They are inherently unstable due to a variety of factors which are poorly understood by many surgeons. First step is accurate reduction of the ulna with either intramedullary fixation or plating. However, these fractures are difficult to reduced by closed manipulation. The peak incidence occurs between the ages of 4 and 1 0 years. FRACTURE-dislocations of the forearm are not common injuries. Monteggia fractures account for 0.4 of all forearm fractures. ![]()
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