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Pediatric Elbow Fractures pp 185–194Cite as

Acute Monteggia Fractures in Children

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Abstract

Pediatric Monteggia fracture dislocations are characterized by an ulna fracture associated with a disruption of the proximal radioulnar joint and a radial head dislocation. In 1943, Sir Watson-Jones wrote that “no fracture presents with so many problems; no injury is beset with greater difficulty; no treatment is characterized by more general failure.” Therefore, it is critical that the initial Monteggia injury be accurately diagnosed and appropriately treated to obtain an excellent outcome. Current treatment recommendations are based on the pattern of the ulna fracture rather than the direction of the radial head dislocation. Symptomatic late-presenting cases can be treated successfully with reconstructive surgery.

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Author information

Authors and Affiliations

  1. Division of Gastrointestinal Surgery, Department of Surgery, University Hospital Centre Zagreb, Zagreb, Croatia

    William P. Hennrikus (Son) B.A. & William L. Hennrikus (Father) M.D.

  2. Penn State College of Medicine, 30 Hope Drive, Hershey, PA, 17033, USA

    David G. Fanelli B.S.

  3. Penn State College of Medicine, 30 Hope Drive, Hershey, PA, 17033, USA

    Zachary P. Winthrop B.S.

Authors
  1. William P. Hennrikus (Son) B.A.
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  2. David G. Fanelli B.S.
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  3. Zachary P. Winthrop B.S.
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  4. William L. Hennrikus (Father) M.D.
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Corresponding author

Correspondence to William L. Hennrikus (Father) M.D. .

Editor information

Editors and Affiliations

  1. Departments of Orthopedics and Pediatrics, University of Maryland School of Medicine, Baltimore, Maryland, USA

    Joshua M. Abzug

  2. St. Christopher’s Hospital for Children, Drexel University College of Medicine, Philadelphia, Pennsylvania, USA

    Martin J. Herman

  3. Shriners Hospitals for Children, Philadelphia, Pennsylvania, USA

    Scott Kozin

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Hennrikus (Son), W.P., Fanelli, D.G., Winthrop, Z.P., Hennrikus (Father), W.L. (2018). Acute Monteggia Fractures in Children. In: Abzug, J., Herman, M., Kozin, S. (eds) Pediatric Elbow Fractures. Springer, Cham. https://doi.org/10.1007/978-3-319-68004-0_13

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  • DOI: https://doi.org/10.1007/978-3-319-68004-0_13

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-68002-6

  • Online ISBN: 978-3-319-68004-0

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