Monteggia fracture-dislocation in adults
- VernacularTitle:Monteggia's骨折脱位的相关内容回顾
- Author:
Xieyuan JIANG
;
Jian ZHANG
;
Manyi WANG
;
Guowei RONG
- Publication Type:Journal Article
- Keywords:
Monteggia;
Surgery;
Internal fixation
- From:
Chinese Journal of Orthopaedic Trauma
2004;0(06):-
- CountryChina
- Language:Chinese
-
Abstract:
Monteggia fracture dislocation refers to the fracture of the ulna with associated dislocation of the radial head. This rare injury only accounts for less than 5%of all the forearm fractures. By literature review of the history of Monteggia fracture dislocation, the authors further clarify the definition, classification, injury mechanism and treatment protocol of this special type of fracture. The key to a good result of the treatment for a Monteggia fracture dislocation is timely diagnosis and management so that anatomic reduction and stable fixation of the ulna can be achieved. In addition, enough attention must be paid to the associated injuries at the level of the elbow, including fractures of the coronoid process and the radial head as well as posterolateral rotatory instability of the ulnohumeral articulation. The factors strongly affecting prognosis include comminuted fractures of the ulna combined with fractures of the radial head and coronoid process.
