Is a fracture of the proximal ulna with dislocation of radial head?

A Monteggia fracture-dislocation refers to dislocation of the radial head (proximal radioulnar joint) with fracture of the ulna. The Bado classification system (Table 1) describes four types.

Is a proximal or middle third ulna fracture with dislocation of radial head?

A Monteggia fracture is defined as a proximal 1/3 ulna fracture with an associated radial head dislocation.

What is the most common complication of an elbow fracture and dislocation?

One of the most common complications of any elbow injury is stiffness. This problem may occur in both simple and complex injuries. However, with restoration of stability range of motion, exercises can be started early decreasing the risk of residual pain and stiffness.

What is dislocation of the radial head?

Radial head dislocation occurs when the radial head is displaced from its normal articulation with the ulna and the humerus. The dislocation may be acquired or congenital (see the separate article on congenital radial head dislocation).

How is a radial dislocation treated?

There are several surgical procedures available to address chronic radial head dislocation, but most commonly used is open reduction with plate and screw fixation or intramedullary nail of the ulna and annular ligament reconstruction.

How do you reduce posterior radial head dislocation?

A hyperpronation or a supination-flexion technique may be used to reduce a radial head subluxation (nursemaid’s elbow). These techniques are safe and require no special equipment, assistants, analgesia/sedation, or post-procedure immobilization.

Can you fully recover from a dislocated elbow?

An appropriately treated simple dislocation may recover in 3-6 weeks, but if the elbow joint is in the pitching arm, throwing recovery may take up to 3 months. Any complications increase recovery times.

How can ulnar dislocation be reduced?

Closed reduction by forceful hyperpronation of the wrist while pulling the ulnar head in dorsal direction under sedation is the treatment of choice in emergency, and surgery is required only when the dislocation persists or if a DRUJ instability remains.

Is a fracture of the proximal ulna with dislocation of radial head? A Monteggia fracture-dislocation refers to dislocation of the radial head (proximal radioulnar joint) with fracture of the ulna. The Bado classification system (Table 1) describes four types. Is a proximal or middle third ulna fracture with dislocation of radial head? A Monteggia fracture…