Monteggia Fracture and Monteggia-Like Lesion – Treatment Strategies and Intraoperative Reduction Techniques

  • Dorothee Gühring
  • Ulrich StöckleEmail author


Fractures of the proximal ulna in combination with a dislocation of the proximal radioulnar joint (PRUJ) and the radiohumeral joint (dislocation of the head of the radial bone) are named “Monteggia fractures” after the individual who first described such fractures, Giovanni Monteggia. The dislocation mechanism that takes place in the context of a Monteggia injury often results in a concomitant fracture of the neck or head of the radial bone and/or a fracture of the coronoid process. These complex injuries are summarized by the term “Monteggia-like lesion”. In this chapter reduction and fixation of these fractures is discussed.


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Further Reading

  1. Guitton TG, Ring D, Kloen P. Long-term evaluation of surgically treated anterior monteggia fractures in skeletally mature patients. J Hand Surg Am. 2009;34(9):1618–24.CrossRefPubMedGoogle Scholar
  2. Konrad GG, Kundel K, Kreuz PC, Oberst M, Sudkamp NP. Monteggia fractures in adults: long-term results and prognostic factors. J Bone Joint Surg Br. 2007;89(3):354–60.CrossRefPubMedGoogle Scholar
  3. Ring D. Monteggia fractures. Orthop Clin North Am. 2013;44(1):59–66.CrossRefPubMedGoogle Scholar
  4. Wong JC, Getz CL, Abboud JA. Adult monteggia and olecranon fracture dislocations of the elbow. Hand Clin. 2015;31(4):565–80.CrossRefPubMedGoogle Scholar

Copyright information

© Springer International Publishing AG 2018

Authors and Affiliations

  1. 1.Klinik im KronprinzenbauReutlingenGermany
  2. 2.Trauma and Reconstructive SurgeryBG UnfallklinikTübingenGermany

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