Monteggia

Monteggia's fracture is a type of bone fracture in the forearm that involves a fracture of the ulna and dislocation of the radius at the elbow. It was first described by Giovanni Battista Monteggia in 1814.

Causes

Monteggia's fracture is usually caused by a direct blow to the forearm or a fall onto an outstretched hand. The force of the impact causes the ulna to fracture and the radius to dislocate.

Symptoms

The main symptoms of Monteggia's fracture are pain, swelling, and deformity in the forearm. The patient may also have difficulty moving the arm and hand.

Diagnosis

The diagnosis of Monteggia's fracture is made based on the patient's history, physical examination, and X-ray findings. The X-ray will show a fracture of the ulna and dislocation of the radius.

Treatment

The treatment of Monteggia's fracture involves reduction of the dislocation and fixation of the fracture. This can be done either non-surgically with a cast or surgically with plates and screws. After treatment, the patient will need physical therapy to regain strength and mobility in the arm.

Prognosis

The prognosis for Monteggia's fracture is generally good, especially if the injury is treated promptly. However, complications can occur, including nerve damage, infection, and nonunion of the fracture.

See also

• Galeazzi fracture
• Colles' fracture
• Smith's fracture

Monteggia Resources
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