Monteggia Fracture

  • fracture of proximal ulna with dislocation of the proximal radius ( Monteggia – Milan, 1814 )

Classification

Type Description
Ianterior dislocation of radial head
IIposterior or posterolateral dislocation of the radial head
IIIlaterior or anterolateral dislocation of the radial head
IVanterior dislocation of the radial head with fracture of both radius & ulna at the diaphysis
Bado Classification of Monteggia Fracture

Treatment

  • ORIF in adults
  • CR/POP in children
  • aim to reduce ulna – this reduces the proximal joint