Monteggia fracture-dislocation
Case contributed by Frank Gaillard
Diagnosis certain
Citation, DOI, disclosures and case data
Citation:
Gaillard F, Monteggia fracture-dislocation. Case study, Radiopaedia.org (Accessed on 24 Apr 2024) https://doi.org/10.53347/rID-8012
Permalink:
rID:
8012
Disclosures:
At the time the case was submitted for publication Frank Gaillard had no recorded disclosures.
View Frank Gaillard's current disclosuresCase published:
3 Jan 2010
Revisions:
4 times, by
4 contributors -
see full revision history and disclosures
Systems:
Quiz mode:
Included
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Presentation
Bad fall. Painful arm.
Patient Data
Age: Child
Gender: Male
From the case:
Monteggia fracture-dislocation
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A displaced and overlapped fracture of the ulnar shaft is present. Additionally the radial head is dislocated anteriorly.
3 case questions available
Q: What must be noticed if appropriate treatment is to be instituted? show answer
A: In addition to the ulnar shaft fracture, the radial head is anteriorly dislocated.
Q: What is this fracture dislocation known as? show answer
A: Monteggia fracture-dislocation.
Q: In the Bado classification what determines the type of Monteggia fracture-dislocation, and what type is this? show answer
A: The radial head determines the type: type I : classic (originally described by Monteggia) has anterior dislocation of radial head (this case); type II has posterior dislocation of radial head; type III has lateral dislocation of radial head; and type IV has a fracture of radial head as well as ulnar shaft. As is usually the case, in everyday practice describing the fracture / dislocation is far more important than remembering the grade.
Case Discussion
This case illustrates a Monteggia fracture in a child.
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