Advertisement

The Elbow pp 117-125 | Cite as

The Monteggia lesion

  • A. Vaccari
  • A. Montorsi
  • F. Boselli
  • A. Folloni
  • C. Cordella
Part of the Current Concepts in Orthopaedic Surgery book series (ORTHOP.SURGERY, volume 2)

Abstract

The Monteggia lesion is named after Giovanni Battista Monteggia, who first reported it in 1814 (13). He defined it as a traumatic lesion featuring a fracture of the proximal ulna and an anterior dislocation of the proximal epiphysis of the radius. In later years this theory was modified by other authors. In 1855, Malgaigne reported that fracture of the ulna at any level can be accompanied by proximal dislocation of the radius (12), an idea that Hamilton had already expressed in 1850 (8). These reports convinced many that the Monteggia fracture-dislocation, as had been described by the author, could not be considered an isolated lesion but rather a group of traumatic lesions that, according to Bado (1967), “have in common dislocation of the humeroradioulnar joint combined with ulnar fracture (2).”

Keywords

Radial Head Anterior Dislocation Cast Immobilization Proximal Ulna Ulnar Fracture 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. 1).
    Bado J.L.: The Monteggia lesion. Thomas, Springfield 1959.Google Scholar
  2. 2).
    Bado J.L.: The Monteggia lesion. Clin. Orthop. 1967; 50: 71–86.PubMedGoogle Scholar
  3. 3).
    Boyd H.B., Boals J.G.: The Monteggia lesion: a review of 159 cases. Clin. Orthop. 1969; 66: 94–100.PubMedGoogle Scholar
  4. 4).
    Bruce H.E., Harvey J.P., Wilson J.C.: Monteggia fractures. J. Bone Jt Surg. 1974; 56-A: 1563–76.Google Scholar
  5. 5).
    Dubuc J.E., Rombouts J.J., Vincent A.: Les luxations de l’extremité proximale du radius chez l’enfant. Acta Orthop. Belg. 1984; 50 (6): 815–836.PubMedGoogle Scholar
  6. 6).
    Evans E.M.: Pronation injuries of forearm with special reference to anterior Monteggia fracture. J. Bone Jt Surg. 1949; 31-B: 578.Google Scholar
  7. 7).
    Fowles J.V., Soman N., Kassab M.T.: The Monteggia lesion in children. J. Bone Jt Surg. 1983; 65-A (9): 1276.Google Scholar
  8. 8).
    Hamilton, 1850. Quoted by Bado J.L. (1)Google Scholar
  9. 9).
    Holst-Nielsen F., Jensen V.: Tardy posterior interosseous nerve palsy as a result of an unreduced radial head dislocation in Monteggia fractures: a report of two cases. J. Hand Surg. 1984; 9 (4): 572–575.Google Scholar
  10. 10).
    Kalamchi A., Wilmington, Delaware: Monteggia fracture-dislocation in children: late treatment in two cases. J. Bone Jt Surg. 1986; 68-A (4): 615–619.Google Scholar
  11. 11).
    Lefts M., Locht R., Wiens J.: Monteggia fracture-dislocations in children. J. Bone Jt Surg. 1985; 67-B (5): 724–727.Google Scholar
  12. 12).
    Malgaigne, 1855. Quoted by Bado J.L. (1).Google Scholar
  13. 13).
    Monteggia G.B.: Istituzioni chirurgiche Milano, 1814.Google Scholar
  14. 14).
    Papavasiliou V.A., Nenopoulos S.P.: Monteggia-type elbow fractures in childhood. Clin. Orthop. Rel. Res. 1988; 233: 230–233.Google Scholar
  15. 15).
    Trillat A., Marsan G., Lapeyre B.: Classification et traitement des fractures de Monteggia: à propos de 36 observations. Rev. Chir. Orthop. 1969; 55 (7): 639–658.PubMedGoogle Scholar
  16. 16).
    Verneret G., Langlais J., Pouliquen J.G., Rigault P.: Luxations anciennes post-traumatiques de la tête radiale chez l’enfant. Rev. Chir. Orthop. 1989; 75: 77–89.PubMedGoogle Scholar
  17. 17).
    Watson-Jones R.: Fractures and joint injuries. Williams and Wilkins, Baltimore, 1955, 4a ed., vol. 2, 572–581.Google Scholar

Copyright information

© Springer-Verlag Wien 1991

Authors and Affiliations

  • A. Vaccari
  • A. Montorsi
  • F. Boselli
  • A. Folloni
  • C. Cordella

There are no affiliations available

Personalised recommendations