A 12-year-old boy suffered injuries to his left forearm and elbow in a fall from a bicycle. Radiographs of the left elbow and forearm revealed a type IV Monteggia lesion (Fig. 1). During close manipulation, the greenstick radial fracture became partially displaced. However, length of the ulna and its alignment together with reduction of the radial head were satisfactorily obtained. Thereafter, ...

Open reduction combined with ulnar osteotomy is the most common approach to treating missed Monteggia injuries. The osteotomy is usually performed at the proximal ulna to ensure better healing and fewer complications. The purpose of this study is to present a center of rotation angulation (CORA)-based osteotomy of the ulna for treating Bado type I Monteggia injuries.We retrospectively reviewed ...

A rare case is reported of a Monteggia equivalent injury where a dislocation of the radial head is associated with fracture of the distal third of the radius and ulna. The mechanism, treatment and outcome are described.

A fratura-luxação de Monteggia, desde que foi descrita em1814, tem sido motivo preocupação entre ortopedistas todo omundo, por suas graves complicações. Apresenta-se a classificação deBado, clássica para esse tipo lesão, os tipos tratamentos e ascomplicações da lesão quando não reconhecida no momento do traumatismo,com sugestão tratamento.

Two consecutive cases of chronic dislocation of the head of the radius after missed Bado type-I Monteggia lesions are presented. Reduction was successfully achieved in both patients after ulnar corticotomy, gradual lengthening and angulation of the ulna using an external fixator. Open reduction or reconstruction of the radio-ulnar capitellar joint was not undertaken. The age at injury was seven...

BACKGROUND Various types of osteotomies have been used to facilitate reduction of the radial head and to prevent recurrent subluxation. The Bouyala technique - open reduction of radial head associated with open wedge ulnar osteotomy with or without annular ligament reconstruction, is presently the most widely used treatment for long- standing traumatic dislocation of the radial head, independen...

A Monteggia fracture is a fracture of the proximal ulna coupled with a radial head dislocation. These fractures are an uncommon class of forearm fractures. Numerous classification systems have been developed to characterize these fractures, with the Bado classification being the most common. Elbow radiographs are the primary diagnostic modality, demonstrating dislocation when a line drawn exten...

Traumatic dislocation of the head of the radius in children may be either an isolated injury or, more commonly, part of a more complex injury to the elbow, such as the Monteggia fracture-dislocation. in that injury the dislocation of the head of the radius is described as anterior or posterior and the fracture of the ulna affects its shaft (Watson-Jones 1956). Wise (1941) reported a case of lat...

RATIONALE Elbow injury in children by improper treatment or a delay of more than 3 weeks could lead to old unreduced Monteggia fracture, which are difficult to manage. Conservative or normal surgical methods usually fail. PATIENT CONCERNS Herein, we present a 6-year-old boy with sustaining injury approximately 1 month to his left elbow. Activity in his elbow was restricted, and his ability to...