Abstract
Monteggia and Monteggia variant injuries are a rare entity in the adolescent trauma patient. They are still a challenge for the orthopedic surgeon because of the combination of fracture and joint dislocation in the complex anatomical and biomechanical area of the elbow. The elbow function as well as forearm rotation is dependent on anatomic fracture fixation, restoration of the bone and joint axis, and stable humeroulnar, humeroradial, and ulnoradial joints.
This chapter will demonstrate how to surgically approach these fractures and what to consider in order to optimize treatment outcome.
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References
Andjelković S, et al. Giovanni Battista Monteggia (1762–1815). Srp Arh Celok Lek. 2015;143(1–2):105–7.
Rehim SA, Maynard MA, Sebastin SJ, Chung KC. Monteggia fracture-dislocations: a historical review. J Hand Surg Am. 2014;39(7):1384–94.
Bae DS. Successful strategies for managing Monteggia injuries. J Pediatr Orthop. 2016;36 Suppl 1:S67–70.
Slongo T, Fernandez FF. Incorrectly healed Monteggia lesion in childhood and adolescence. Unfallchirurg. 2011;114(4):311–22.
Dowdy PA, Bain GI, King GJ, Patterson SD. The midline posterior elbow incision. An anatomical appraisal. J Bone Joint Surg Br. 1995;77:696–9.
Grechenig W, Clement H, Pichler W, Tesch NP, Windisch G. The influence of lateral and anterior angulation of the proximal ulna on the treatment of a Monteggia fracture: an anatomical cadaver study. J Bone Joint Surg Br. 2007;89:836–8.
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Wich, M.KH. (2020). Monteggia and Monteggia Variant Fractures. In: Horwitz, D., Suk, M., Swenson, T. (eds) Tips and Tricks for Problem Fractures, Volume I. Springer, Cham. https://doi.org/10.1007/978-3-030-38274-2_8
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DOI: https://doi.org/10.1007/978-3-030-38274-2_8
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