![]() ![]() Monteggia children fractures outcomes treatment. The fracture of the proximal ulna may be a torus/buckle deformity, an incomplete (‘greenstick’), or a complete fracture. Correct diagnosis and treatment followed by appropriate rehabilitation result in full recovery and no mobility limitations in children and teenagers. Open all credits 21u-M/6.1 Monteggia lesion A Monteggia lesion is a combination of an ulnar deformity or fracture (often distal to the coronoid) and a dislocation of the radial head. 1 Section of Plastic Surgery, Department of Surgery, University of Michigan Health System, Ann Arbor, MI. However, the dislocated radial head should be properly reduced in all patients. this ordinarily requires 6-10 wks depending on the age of pt - ref: Repair of Bado II Monteggia Fracture: Case Presentation and Surgical Technique. The eponym Monteggia fracture dislocation originally referred to a fracture of the shaft of the ulna accompanied by anterior dislocation of the radial head that was described by Giovanni Battista Monteggia of Italy in 1814. Options for treatment include open ulnar osteotomy with rigid plate fixation with or without open reduction of the radiocapitellar joint and annular ligament repair or. Though Monteggia fracture is well defined as radial head dislocation combined with proximal ulna fracture, the exact time point to consider a chronic phase Monteggia fracture is ambiguous. Treatment of these injuries is still topic of debate and strategies differ widely. Late reconstruction is difficult and often results in less than perfect results (Rang, 2005). Monteggia injuries are rare, but severe injuries of the elbow including various injury patterns. Our experience shows that closed reduction together with immobilization in a cast is usually a sufficient treatment in Monteggia fractures. Failure to recognize a monteggia fracture can have severe consequences. Only one of the patients who underwent the surgery demonstrated a 20° deficit in elbow flexion that did not affect limb function.ġ. Multiple operative techniques have been described to address the broad spectrum of injuries seen in Monteggia fractures. The radial head dislocation was reduced successfully in every patient.Įvery child from the study group who received conservative treatment regained full elbow mobility as well as normal forearm supination and pronation. Closed reduction and immobilization in a cast were performed in 12 patients, while three children underwent surgical treatment with internal fixation of the ulna. Both conservative treatment and surgery were analyzed.ġ5 children (7 boys and 8 girls) between the ages of 4-16.3 years (mean age 8.3 years) with Monteggia fractures were hospitalized at our center in the years 2015-2020. The purpose of this paper is to evaluate treatment outcomes of Monteggia fractures in children. ![]() Despite its low incidence, Monteggia fractures require particular attention, since as much as 30-50% of the cases may be unrecognized, which subsequently leads to complications. These injuries account for 0.4-1% of all forearm fractures in children. To the authors’ knowledge this is the rst description of a Monteggia fracture in a lemur species.The term Monteggia fracture refers to a class of injuries encompassing the fracture of the proximal end of the ulna with subluxation or dislocation of the radial head. This is most common in adults and children. This accounts for approximately sixty percent of these types of fractures and is referred to as an extension type. e surgical technique described in this case enabled good stabilisation and healing of the fracture, without compromising pronation and supination, which is valuable for primate species. Type 1 fracture of the middle third of your ulna with the anterior, or front, dislocation of your radial head. Surgical treatment in domestic carnivore species usually includes ulnar fracture repair and radio- ulnar xation that impairs or limits pronation and supination. Although many reports of such fractures exist in the veterinary literature, their true prevalence is currently undocumented in all animal species. ![]() The emergent management is simple, as reducing the ulnar fracture is usually sufficient to stabilise the radial head. This combination should be sought routinely in patients with ulnar fractures, even when the displacement is small. Monteggia fractures are rare, representing 1 to 2% of human forearm fractures. The Monteggia injury is defined as radial head dislocation with a fracture of the ulnar shaft. Surgical treatment included repair of the fracture using an intramedullary pin inserted in retrograde fashion associated with a capsular prosthesis made of suture attached to two periarticular screws, and second intention healing of the wound. A 12 year old female Ring-Tailed Lemur (Lemur catta) was diagnosed with a type III Monteggia fracture associated with a wound on the mediodorsal side of the forearm. ![]()
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