Monteggia fracture-dislocation

Revision as of 21:50, 10 November 2013 by Peterdmorris (talk | contribs) (added radial nerve injury features)

Background

  • Ulna fx (proximal third) + radial head dislocation
  • Easy to overlook the radial head dislocation (will result in worse outcome)

Clinical Features

  • Pain/swelling at elbow
  • Radial head may be palpable in an anterolatera or posterolateral location
  • May be associated with radial nerve injury (wrist drop, inability to extend the fingers et cetera)

Management

  • Consult ortho in the ED; likely requires ORIF

See Also

Forearm Fracture

Source

  • Tintinalli
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