title: The posterior Monteggia lesion with associated ulnohumeral instability.
abstract: The type II Monteggia (posterior) lesion is a rare injury which is sometimes associated with ulnohumeral instability. We have reviewed 23 of 28 patients with this injury. A clinical and radiographic assessment was undertaken at follow-up. Functional outcome scores, including the Broberg and Morrey Index and the Disabilities of the Arm, Shoulder or Hand (DASH), were used. The results from the six patients with associated posterior ulnohumeral dislocation were compared with 17 without ulnohumeral injury. Those with dislocation had reduced movement of the elbow and had outcome scores indicative of greater disability compared to those without associated dislocation.
authors.affiliation: Department of Orthopaedic Surgery, NYU-Hospital for Joint Diseases, 301 E 17th Street, New York, NY 10003, USA.
authors.forename: E J
authors.initials: EJ
authors.lastname: Strauss
authors.forename: N C
authors.initials: NC
authors.lastname: Tejwani
authors.forename: C F
authors.initials: CF
authors.lastname: Preston
authors.forename: K A
authors.initials: KA
authors.lastname: Egol
mesh_terms: D000328:Adult; D000369:Aged, 80 and over; D001860:Bone Plates; D004185:Disability Evaluation; D004551:Elbow Joint / Q000000981:diagnostic imaging / Q000503:physiopathology / Q000601:surgery; D005260:Female; D005593:Fracture Fixation, Internal / Q000379:methods; D006801:Humans; D004204:Joint Dislocations / Q000000981:diagnostic imaging / Q000601:surgery*; D007593:Joint Instability / Q000000981:diagnostic imaging / Q000601:surgery; D008297:Male; D008875:Middle Aged; D009011:Monteggia's Fracture / Q000000981:diagnostic imaging / Q000601:surgery*; D009104:Multiple Trauma / Q000000981:diagnostic imaging / Q000601:surgery*; D011859:Radiography; D016059:Range of Motion, Articular; D012189:Retrospective Studies; D016896:Treatment Outcome; D000092464:Elbow Injuries