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Monteggia Fractures in Children - Wheeless' Textbook of Orthopaedics ORTHOBULLETS; Events. - apex of angular deformity of ulna usually indicates direction of radial head dislocation; - Reduction: Closed reduction; cast immobilization for Monteggia lesion - AO Foundation : A retrospective study, Mortons Neuroma: Interdigital Perineural Fibrosis, Orthopaedic Specialists of North Carolina. (0/1), Level 5 Problems with the elbow related to fractures of the coronoid process and the radial head, which are common with Bado type-II Monteggia fractures, remain the most challenging elements in the treatment of these injuries. - myositis ossificans, The challenge of Monteggia-like lesions of the elbow mid-term results of 46 cases, Unstable fracture-dislocations of the forearm (Monteggia and Galeazzi lesions). - See: - anterior dislocation of the radial head; It is named after Giovanni Battista Monteggia. Rockwood CA, Green DP, Bucholz R, eds. Epidemiology: Proximal ulnar osteotomy in the treatment of neglected childhood - type I, III, and IV lesions are held in 110 deg. 2021 Nov. 46 (11):1006-1015. Monteggia Fractures: Pearls and Pitfalls - ScienceDirect The character of the ulnar fracture is useful in determining optimal treatment. Neural injuries are generally traction injuries and result from stretching around the displaced bone or from energy dispersed during the initial injury. In a retrospective study on the functional and radiologic long-term outcome of ORIF in 11 skeletally mature patients with Bado type I Monteggia fractures, Guitton et al found that the mean arc of elbow flexion increased from 110 at early follow-up to 120 at late follow-up. The Monteggia lesion. Monteggia Fractures in the pediatric population are defined as proximal ulna fractures or plastic deformation of the ulna with an associated radial head dislocation. Other important complications included proximal radioulnar synostosis in three patients, ulnar malunion in three, posterolateral rotatory instability of the ulnohumeral joint in one, and instability of the distal radioulnar joint in one. Xiao RC, Chan JJ, Cirino CM, Kim JM. Undecided Conclusions: Monteggia fracture dislocation equiva-lents are rare injuries and pre-surgery recognition by radio-graphs and 3-D CT helps make optimal plan. National Center for Biotechnology Information [15] The average follow-up period was 5.5 years. - posterior interosseous nerve may be wrapped around neck of radius, preventing reduction; [QxMD MEDLINE Link]. J Bone Joint Surg Am. The character of the ulnar fracture is useful in determining optimal treatment.