Management of Delayed Presentation of Adult Monteggia Fracture Dislocation

Title: Management of Delayed Presentation of Adult Monteggia Fracture Dislocation

Author: Dr Sanjai Kumar Singh

DIDS : 08.2015-XXXXXXXX

Abstract

· Delayed Cases, However, Are Rare.

· Radial Head Is Always Dislocated And Ulna May Be In Nonunion Or Malunion.

· Traditional Technique – Over Gain The Ulner Lenth To Allow Smooth Relocation Of Radial Head.

· However, Relocation Of Redial Head Is Often Impossible – Due To Dense Scar Tissue In Radio Capitellar + Pruj.

· And Dissecting The Scar Tissue In The Proximal Joints Carries A Risk Of Posterior Interosseous Nerve Injury.

· Hence Radial Head Excision Is Recommended In Delayed Situations…

· With Out The Risk Of Proximal Migration Of Radius & Wrist Pain.

1. Broberg MA, Morrey BF, Result of delayed excisionof the radial head after fracture, J Bone Joint Surg AM. 1986,68,669-674

2. T.S. Jepegnanam, Salvage of the radial head in chronic adult monteggia fracture of four cases, J Bone Joint Surg. (BR) 2006;88-B;645-8.

3. Umile Gluseppe Longo, Nicola Maffulti et al, Rating systems for evaluation of the elbow, British medical bulletin 2008,87:131-161.

4. David west KS. Wilson NIL, Sherlock DA, Bennet GC missed monteggia injuries, Injury 2005;36:1206-9.

Dr Sanjai Kumar Singh

MBBS, D-Ortho, Ph.D, (Ortho), Senior Orthopedic Surgeon,

Dr Sanjay Multi Speciality Hospital, Bahadurgarh (Haryana)