Monteggia fracture
Editor-In-Chief: Prab R Tumpati, MD
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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 | |
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[edit | edit source]
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[edit | edit source]
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[edit | edit source]
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[edit | edit source]
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[edit | edit source]
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[edit | edit source]
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Contributors: Prab R. Tumpati, MD
