Fracture of the proximal or middle third of the ulna with posterior dislocation of the radial head (70 to 80% of adult Monteggia fractures)
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A 45-year-old male falls off his motorcycle and injures his arm. AP and lateral radiographs reveal a proximal ulnar shaft fracture, 30 degrees apex anterior, and a radial head dislocation. Which direction is the radial head most likely dislocated?
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A 12-year-old male sustains an ulnar fracture with an associated posterior-lateral radial head dislocation. After undergoing closed reduction, the radiocapitellar joint is noted to remain non-concentric. What is the most likely finding?
Lateral ulnar collateral ligament disruption
Anterior band of the medial collateral disruption
Posterior band of the medial collateral ligament disruption
Annular ligament interposition
Anconeus muscle interposition
Title: Chonic Monteggia Fx / Ulnar Nonunion Faculty:Melvin P. Rosenwasser, MD Du...
Title: Monteggia Author: Alfred W. Hess, MD Duration: 13:29
Educational video describing the classification of monteggia fractures
HPI - At age 26, patient endured a motorcycle crash in October of 2010. He was treated by an outside surgeon with revision ORIF & bone grafting from distal radius. Went on to a nonunion of the ulnar shaft, chronic radiocapitellar dislocation, and heterotopic ossification about the elbow.
Would you offer surgery?
HPI - previous elbow injury 3 y ago treated in slab
What management should be offered?
HPI - Fell from her height
What is the best treatment?