title: Bilateral Monteggia fracture in adults.
abstract: BACKGROUND
  In 1814 Giovanni Monteggia first described two cases of fractures of the proximal third of ulna with dislocation of the radial head. These fractures are more common in children than in adults, and mutual Monteggia fracture is a rare complication. This study presents a treatment course of a patient with bilateral Monteggia fracture.
  
  
  METHODS
  A 55-year-old patient was injured by falling in the yard. Radiography showed bilateral Monteggia fracture type II (by the Badon classification). Operative treatment of fracture was done by a compression plate on the right side and by the zuggurtung technique on the left one. Closed repositioning of the radial head was done on both sides. The patient was wearing a plaster splint for the upper arm for 21 days. After removing the fixation, the function of the elbow was determined by the Broberg Morrey score (BM) which was on the right side 45.5 and on the left side 47.5. After the proper physical therapy, four months after the surgery, BM score was 100 on the right side, and 93 on the left one.
  
  
  CONCLUSIONS
  Surgical treatment and early rehabilitation is the key for the return of good function of both elbows.
authors.affiliation: Clinical Hospital Center Zemun, Traumatology Center, Belgrade, Serbia. dekiris@hotmail.com
authors.forename: Dejan
authors.initials: D
authors.lastname: Ristić
authors.forename: Nebojsa
authors.initials: N
authors.lastname: Jovanović
authors.forename: Voja
authors.initials: V
authors.lastname: Cvetković
authors.forename: Biljana
authors.initials: B
authors.lastname: Stanković
authors.forename: Branislav
authors.initials: B
authors.lastname: Vracević
mesh_terms: D005260:Female; D005593:Fracture Fixation, Internal; D006801:Humans; D008875:Middle Aged; D009011:Monteggia's Fracture / Q000473:pathology* / Q000601:surgery