Review Question - QID 2894

Action	Numeric Key	Letter Key	Function Key
Choose 1	1
Choose 2	2
Choose 3	3
Choose 4	4
Choose 5	5
Submit Response			Enter
Previous Question			Left Arrow
Next Question		N	Right Arrow
Open/Close Bookmode		C
Open Image			Spacebar

Monteggia Fracture - Pediatric Treatment Operative QID: 2894 (OBQ09.81)

QID 2894 (Type "2894" in App Search)

A 7-year-old girl falls off of her bike and sustains the injury depicted in Figures A & B. All of the following are indications for surgical management of Monteggia fractures EXCEPT:

Type & Select Correct Answer

Type in at least one full word to see suggestions list

Combined radius and long oblique ulnar fracture and reduced radial head dislocation

181/3450

Incomplete ulnar fracture with lateral radial head dislocation that is successfully reduced

91%

3140/3450

Ulnar communition with ulnar shortening

49/3450

One week post-reduction/casting radiograph showing loss of radial head reduction

27/3450

Long oblique ulnar fracture with irreducible radial head dislocation

29/3450

Select Answer to see Preferred Response

Review TC In New Tab

Monteggia fractures include a combination of ulnar fracture and radial head dislocation. Pediatric patients have better outcomes than adults. The Bado classification names patterns based on direction of the radial head dislocation(1=anterior, 2=posterior, 3=lateral) with Bado Type 4 being a both bone forearm fracture with associated radial head dislocation. Initial management for Type 1-3 injuries is closed reduction and long arm casting if the ulna is at appropriate length and the radial head is reduced.

The review articles by Ring and Wilkins discuss operative indications to include failure to maintain ulnar reduction or radial head anatomic position and a Type 4 Bado injury (whether or not the radial head can be successfully closed reduced).