All Monteggia fracture-dislocations require an urgent orthopedic assessment. Treatment options. Monteggia fracture in children and adolescents is more common than in adults. of this injury and your treatment options. Mechanism. Monteggia Fracture Dislocation– ORIF Three times per day home exercise program: Goal: Avoid fracture displacement but obtain max ROM by 3 months post-operatively Phase 1: Week 0-6 Anecdotal reports of adult Monteggia fracture dislocations show a poor outcome with conservative management – specifically a painful stiff elbow with limited forearm rotation, particularly supination. Delayed or missed diagnosis is the most frequent complication. It is named after Giovanni Battista Monteggia. Typically, Monteggia fracture-dislocations occur as the result of a fall onto an outstretched hand (FOOSH) 4.. Materials and methods: The outcome of 22 children treated surgically between 1988 and 2011 for post-traumatic chronic radial head dislocation is reported. Monteggia fracture-dislocations can be easily missed on x-ray. Removal of forearm plates. In children, the results of early treatment are always good, typically normal or nearly so. Indications for treatment of Monteggia fractures are based on the specific fracture pattern and the age of the patient (ie, pediatric or adult) 12). How are they classified? Treatment is often dictated by the pattern of the ulna fracture … The challenge of Monteggia-like lesions of the elbow mid-term results of 46 cases. If an ulna fracture is present, always look for a radial head dislocation. Monteggia fracture treatment. 10.1055/b-0040-176966 25 Olecranon and Monteggia FracturesEdward A. Perez and Eric A. Barcak Introduction Fractures of the olecranon occur commonly in both young and elderly patients. Most Monteggia fractures are treated with an operation. Giovanni Battista Monteggia (1762-1815). Over the past fifty years, treatment outcomes of traumatic injuries in the upper limb have improved with the advent of better implants. This chapter will review important preoperative considerations as well as tactics employed in surgery. Background: Chronic dislocation of the radial head treatment in Monteggia fracture dislocation is still controversial. It does not replace the opinion, discussion, and treatment from a trained medical professional. We present a large series of patients treated in our Institution. The Monteggia fracture is a fracture of the proximal third of the ulna with dislocation of the proximal head of the radius. 2. Monteggia fracture dislocation accounts for five percent of these types of forearm fracture. Monteggia fracture-dislocations are fractures of the ulna (usually proximal) associated with … The usual cause of this fracture is a fall with an outstretched hand. Chapter 23 The Treatment of Adult Monteggia Fracture–Dislocations Rouin Amirfeyz, Amjid Ali, David Stanley Introduction In 1814 Giovanni Battista Monteggia described two patients with a fracture of the proximal third of the ulna together with an anterior dislocation of the proximal epiphysis of the radius.1 However it was not until 1967 that Jose Luis Bado,… Of all fractures involving only the radial shaft, one in four is a true Galeazzi injury. The less common but often missed Monteggia fracture-dislocation (fracture of the proximal third of the ulnar shaft with dislocation of the radial head) comprises 1 to 2 percent of all forearm fractures . Unstable fracture-dislocations of the forearm (Monteggia and Galeazzi lesions) Monteggia lesions in children and adults: an analysis of etiology and long-term results of treatment. Treatment: There are 3 important things to keep in mind when treating a monteggia fracture. Reduction is always required. You must correct the ulna deformity, reduce the radial head, and minimize future forces that may cause the radial head to re-dislocate.