Monteggia fracture

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Monteggia fracture
Synonyms
Pronounce	N/A
Specialty	N/A
Symptoms	Elbow pain, forearm pain, swelling, limited range of motion
Complications	Nerve injury, vascular injury, nonunion, malunion
Onset
Duration
Types
Causes	Trauma, fall on an outstretched hand
Risks
Diagnosis	Physical examination, X-ray
Differential diagnosis	Galeazzi fracture, Essex-Lopresti injury
Prevention
Treatment	Closed reduction, open reduction and internal fixation
Medication	Analgesics, anti-inflammatory drugs
Prognosis
Frequency
Deaths

File:Bado Classification - Monteggia Fractures.jpg

Bado Classification - Monteggia Fractures

Monteggia fracture is a type of bone fracture that involves a fracture of the ulna (the larger bone of the forearm) and dislocation of the radius at the elbow. It was first described by Italian surgeon Giovanni Battista Monteggia in 1814.

Causes

Monteggia fractures are usually caused by a direct blow to the forearm or a fall onto an outstretched hand. They can also occur as a result of a twisting injury or a forceful pull on the arm.

Symptoms

The main symptoms of a Monteggia fracture are pain, swelling and deformity in the forearm and elbow. There may also be difficulty moving the arm and numbness or weakness in the hand or fingers.

Diagnosis

Diagnosis of a Monteggia fracture is usually made through a physical examination and imaging tests such as X-rays or a CT scan. The doctor will look for a fracture of the ulna and dislocation of the radius at the elbow.

Treatment

Treatment for a Monteggia fracture usually involves surgery to repair the fracture and relocate the dislocated radius. This may be followed by a period of immobilization with a cast or splint, and physical therapy to restore movement and strength to the arm.

Prognosis

With appropriate treatment, most people with a Monteggia fracture recover well. However, complications can occur, including nerve damage, infection, and problems with bone healing.

See also

• Bone fracture
• Ulna
• Radius
• Elbow
• Giovanni Battista Monteggia