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RGUHS Nat. J. Pub. Heal. Sci Vol: 14  Issue: 2 eISSN:  pISSN

Original Article

Management of Missed Monteggia Fracture in Children

Sridharmurthy JN1 , Yatish R2 , Ranganath HD3

1Professor and Head, 2Assistant Professor, 3Associate Professor, Department of Orthopaedics, Kempegowda Institute of Medical  Sciences, Bangalore 

Year: 2013, Volume: 3, Issue: 3, Page no. 149-152,
Views: 543, Downloads: 3
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CC BY NC 4.0 ICON
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0.
Abstract

Context: Fracture of proximal one-third of ulna and dislocation of the proximal radio-ulna joint in the same upper limb is called Monteggia fracture- dislocation. Four clinical variants of this fracture-dislocation have been described depending upon the fracture location and direction of dislocation of the radial head. Chronic (neglected) radio-capitellar joint dislocation is one of the feared complications of Monteggia fractures especially when associated with fracture of the ulna bone.

Aims: Identification of missed Monteggia fracture in children in order to restore articular congruence and growth, achieve stability, good range of movement and prevention of deformity.

Settings and Design: Prospective study involving two children with Missed monteggia fracture.

Methods and Material: Two children with missed Monteggia fracture dislocations are described. Both underwent distraction angular ulnar osteotomy, open reduction of the radial head, stabilization of ulna with plate and screws at osteotomy site. Results: Reduction of deformity and improvement in range of movements.

Conclusions: The radial head can be reduced satisfactorily 6 months or even longer after traumatic dislocation in children in order to, restore articular congruence and growth, achieve stability, good range of movement and prevention of deformity

<p><strong>Context: </strong>Fracture of proximal one-third of ulna and dislocation of the proximal radio-ulna joint in the same upper limb is called Monteggia fracture- dislocation. Four clinical variants of this fracture-dislocation have been described depending upon the fracture location and direction of dislocation of the radial head. Chronic (neglected) radio-capitellar joint dislocation is one of the feared complications of Monteggia fractures especially when associated with fracture of the ulna bone.</p> <p><strong>Aims:</strong> Identification of missed Monteggia fracture in children in order to restore articular congruence and growth, achieve stability, good range of movement and prevention of deformity.</p> <p><strong>Settings and Design:</strong> Prospective study involving two children with Missed monteggia fracture.</p> <p><strong>Methods and Material:</strong> Two children with missed Monteggia fracture dislocations are described. Both underwent distraction angular ulnar osteotomy, open reduction of the radial head, stabilization of ulna with plate and screws at osteotomy site. Results: Reduction of deformity and improvement in range of movements.</p> <p><strong>Conclusions:</strong> The radial head can be reduced satisfactorily 6 months or even longer after traumatic dislocation in children in order to, restore articular congruence and growth, achieve stability, good range of movement and prevention of deformity</p>
Keywords
malunited Monteggia, missed Monteggia, distraction angular ulnar osteotomy
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