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Monteggia Injury
Andrew Sonin, MD, FACR
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KEY FACTS

  • Terminology

    • Imaging

      • Pathology

        • Clinical Issues

          • Diagnostic Checklist

            TERMINOLOGY

            • Definitions

              • Fracture of ulnar shaft + dislocation of radiocapitellar joint (RCJ)
              • 1st described by Monteggia in 1814
              • Originally specifically described anterior RCJ dislocation
                • Now includes any direction of dislocation

            IMAGING

            • General Features

              • Radiographic Findings

                • Imaging Recommendations

                  DIFFERENTIAL DIAGNOSIS

                    PATHOLOGY

                    • General Features

                      • Staging, Grading, & Classification

                        CLINICAL ISSUES

                        • Presentation

                          • Demographics

                            • Natural History & Prognosis

                              • Treatment

                                DIAGNOSTIC CHECKLIST

                                • Consider

                                  • Image Interpretation Pearls

                                    • Reporting Tips

                                      Selected References

                                      1. Goyal T et al: Neglected Monteggia fracture dislocations in children: a systematic review. J Pediatr Orthop B. 24(3):191-199, 2015
                                      2. Ramski DE et al: Pediatric monteggia fractures: a multicenter examination of treatment strategy and early clinical and radiographic results. J Pediatr Orthop. 35(2):115-20, 2015
                                      3. Chagou A et al: The Monteggia fracture: series of 20 cases. Pan Afr Med J. 19:51, 2014
                                      4. Laratta JL et al: Divergent elbow dislocation with radial shaft fracture, distal ulnar deformation, and distal radioulnar joint instability: an unclassifiable Monteggia variant. J Orthop Traumatol. 15(1):63-7, 2014
                                      5. Rehim SA et al: Monteggia fracture dislocations: a historical review. J Hand Surg Am. 39(7):1384-94, 2014
                                      6. Dahmoush HM et al: Monteggia fracture-dislocation. Pediatr Emerg Care. 29(3):406-7, 2013
                                      7. Li H et al: Posterior interosseous nerve entrapment after Monteggia fracture-dislocation in children. Chin J Traumatol. 16(3):131-5, 2013
                                      8. Ring D: Monteggia fractures. Orthop Clin North Am. 44(1):59-66, 2013
                                      9. Beutel BG: Monteggia fractures in pediatric and adult populations. Orthopedics. 35(2):138-44, 2012
                                      10. Cheung EV et al: Monteggia fracture-dislocation associated with proximal and distal radioulnar joint instability. A case report. J Bone Joint Surg Am. 91(4):950-4, 2009
                                      11. Guitton TG et al: Long-term evaluation of surgically treated anterior monteggia fractures in skeletally mature patients. J Hand Surg Am. 34(9):1618-24, 2009
                                      12. Eathiraju S et al: Monteggia fracture-dislocations. Hand Clin. 23(2):165-77, v, 2007
                                      13. Wilkins KE: Changes in the management of monteggia fractures. J Pediatr Orthop. 22(4):548-54, 2002
                                      14. Perron AD et al: Orthopedic pitfalls in the ED: Galeazzi and Monteggia fracture-dislocation. Am J Emerg Med. 19(3):225-8, 2001
                                      15. Kay RM et al: The pediatric Monteggia fracture. Am J Orthop. 27(9):606-9, 1998
                                      16. Ring D et al: Monteggia fractures in children and adults. J Am Acad Orthop Surg. 6(4):215-24, 1998
                                      Related Anatomy
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                                      Related Differential Diagnoses
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                                      References
                                      Tables

                                      Tables

                                      KEY FACTS

                                      • Terminology

                                        • Imaging

                                          • Pathology

                                            • Clinical Issues

                                              • Diagnostic Checklist

                                                TERMINOLOGY

                                                • Definitions

                                                  • Fracture of ulnar shaft + dislocation of radiocapitellar joint (RCJ)
                                                  • 1st described by Monteggia in 1814
                                                  • Originally specifically described anterior RCJ dislocation
                                                    • Now includes any direction of dislocation

                                                IMAGING

                                                • General Features

                                                  • Radiographic Findings

                                                    • Imaging Recommendations

                                                      DIFFERENTIAL DIAGNOSIS

                                                        PATHOLOGY

                                                        • General Features

                                                          • Staging, Grading, & Classification

                                                            CLINICAL ISSUES

                                                            • Presentation

                                                              • Demographics

                                                                • Natural History & Prognosis

                                                                  • Treatment

                                                                    DIAGNOSTIC CHECKLIST

                                                                    • Consider

                                                                      • Image Interpretation Pearls

                                                                        • Reporting Tips

                                                                          Selected References

                                                                          1. Goyal T et al: Neglected Monteggia fracture dislocations in children: a systematic review. J Pediatr Orthop B. 24(3):191-199, 2015
                                                                          2. Ramski DE et al: Pediatric monteggia fractures: a multicenter examination of treatment strategy and early clinical and radiographic results. J Pediatr Orthop. 35(2):115-20, 2015
                                                                          3. Chagou A et al: The Monteggia fracture: series of 20 cases. Pan Afr Med J. 19:51, 2014
                                                                          4. Laratta JL et al: Divergent elbow dislocation with radial shaft fracture, distal ulnar deformation, and distal radioulnar joint instability: an unclassifiable Monteggia variant. J Orthop Traumatol. 15(1):63-7, 2014
                                                                          5. Rehim SA et al: Monteggia fracture dislocations: a historical review. J Hand Surg Am. 39(7):1384-94, 2014
                                                                          6. Dahmoush HM et al: Monteggia fracture-dislocation. Pediatr Emerg Care. 29(3):406-7, 2013
                                                                          7. Li H et al: Posterior interosseous nerve entrapment after Monteggia fracture-dislocation in children. Chin J Traumatol. 16(3):131-5, 2013
                                                                          8. Ring D: Monteggia fractures. Orthop Clin North Am. 44(1):59-66, 2013
                                                                          9. Beutel BG: Monteggia fractures in pediatric and adult populations. Orthopedics. 35(2):138-44, 2012
                                                                          10. Cheung EV et al: Monteggia fracture-dislocation associated with proximal and distal radioulnar joint instability. A case report. J Bone Joint Surg Am. 91(4):950-4, 2009
                                                                          11. Guitton TG et al: Long-term evaluation of surgically treated anterior monteggia fractures in skeletally mature patients. J Hand Surg Am. 34(9):1618-24, 2009
                                                                          12. Eathiraju S et al: Monteggia fracture-dislocations. Hand Clin. 23(2):165-77, v, 2007
                                                                          13. Wilkins KE: Changes in the management of monteggia fractures. J Pediatr Orthop. 22(4):548-54, 2002
                                                                          14. Perron AD et al: Orthopedic pitfalls in the ED: Galeazzi and Monteggia fracture-dislocation. Am J Emerg Med. 19(3):225-8, 2001
                                                                          15. Kay RM et al: The pediatric Monteggia fracture. Am J Orthop. 27(9):606-9, 1998
                                                                          16. Ring D et al: Monteggia fractures in children and adults. J Am Acad Orthop Surg. 6(4):215-24, 1998