Monteggia and equivalent lesions in childhood.
One hundred two children with acute Monteggia lesions treated over a 25 year period were reviewed. Using the Bado classification system, type 1 (53%) and type 3 (26%) fractures were the most common. The type 1 equivalent injury associated with a proximal radius fracture is more common in children than previously reported. The majority of injuries could be treated with closed reduction, except the type 1 equivalent lesions, which required operative treatment in 10 of 14 children. Varus angulation of the ulna was the most common deformity after closed treatment. Nerve injuries occurred in 11% of the injuries, and resolved in all cases without operative treatment.
Olney
B W
BW
Department of Orthopaedic Surgery, Royal Children's Hospital, Melbourne, Australia.
Menelaus
M B
MB
D000293:Adolescent; D002648:Child; D002675:Child, Preschool; D005260:Female; D005592:Fracture Fixation; D006801:Humans; D007223:Infant; D004204:Joint Dislocations / Q000628:therapy*; D008297:Male; D009011:Monteggia's Fracture / Q000145:classification / Q000628:therapy*; D011826:Radial Nerve / Q000293:injuries; D011884:Radius / Q000293:injuries*; D011885:Radius Fractures / Q000628:therapy*; D012189:Retrospective Studies; D014458:Ulna Fractures / Q000628:therapy*