Monteggia fracture: Difference between revisions
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{{Infobox medical condition | |||
| name = Monteggia fracture | |||
| image = [[File:Monteggia_Fracture.jpg|250px]] | |||
| caption = X-ray showing a Monteggia fracture | |||
| field = [[Orthopedic surgery]] | |||
| synonyms = | |||
| pronounciation = | |||
| 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 = [[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|thumb|left]] | |||
'''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. | '''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== | ==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. | 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== | ==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. | 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== | ||
Diagnosis of a Monteggia fracture is usually made through a physical examination and imaging tests such as [[X-ray]]s or a [[CT scan]]. The doctor will look for a fracture of the ulna and dislocation of the radius at the elbow. | Diagnosis of a Monteggia fracture is usually made through a physical examination and imaging tests such as [[X-ray]]s or a [[CT scan]]. The doctor will look for a fracture of the ulna and dislocation of the radius at the elbow. | ||
==Treatment== | ==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. | 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== | ==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. | 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== | ==See also== | ||
* [[Bone fracture]] | * [[Bone fracture]] | ||
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* [[Elbow]] | * [[Elbow]] | ||
* [[Giovanni Battista Monteggia]] | * [[Giovanni Battista Monteggia]] | ||
[[Category:Bone fractures]] | [[Category:Bone fractures]] | ||
[[Category:Injuries]] | [[Category:Injuries]] | ||
[[Category:Orthopedic surgical procedures]] | [[Category:Orthopedic surgical procedures]] | ||
{{stub}} | {{stub}} | ||
Latest revision as of 06:50, 6 April 2025
Editor-In-Chief: Prab R Tumpati, MD
Obesity, Sleep & Internal medicine
Founder, WikiMD Wellnesspedia &
W8MD medical weight loss NYC and sleep center NYC
| 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]
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]
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]
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]
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]
With appropriate treatment, most people with a Monteggia fracture recover well. However, complications can occur, including nerve damage, infection, and problems with bone healing.
