| The Monteggia fracture is a fracture of the ulna, | | | | supination position. This pattern is rare in children and |
| which affects the relationship with the department. | | | | is often a compound fracture. Type III monteggia |
| Fracture Monteggia frequently associated with | | | | lesion side or antero-lateral dislocation of the head |
| dislocation of the radial head. More common in | | | | with radial fracture of the ulnar metaphysis. This |
| children. Due to blow on the forearm. Monteggia | | | | pattern is unusual, and all cases were reported |
| fracture-dislocations are classified by the system | | | | among children. |
| Bado. Bado monteggia classified four types of injuries | | | | The mechanism of injury can be a direct trauma on |
| and said radial head broke up the angulation of the | | | | the inner aspect of the elbow with or without |
| ulna. Type I is characterized by ulnar fracture with | | | | rotation force. This causes an adduction force moving |
| proximal anterior dislocation of the radial head. | | | | radial head forward. Pronation and supination forces |
| Mechanism of injury is described as a direct trauma | | | | added lead-lateral posterior or anterior-lateral |
| to the posterior part ulna, or fall on an outstretched | | | | dislocation. Type IV monteggia lesions anterior |
| arm. | | | | dislocation of the head with a radial fracture of the |
| Another mechanism described is falling on an | | | | proximal radius. The ulna has a pre-summit before the |
| outstretched arm with the hyperextended elbow. | | | | break. Treatment of a Monteggia fracture is with |
| This pattern is more common. Type II injuries are | | | | surgery to repair the ulna fracture. Intravenous |
| "reversed" Monteggia fracture-dislocation injuries. The | | | | antibiotics should be administered to patients with |
| fractured ulna tree is after the apex. This lesion is | | | | open fractures. Ketamine is a very useful drug for |
| thought to be caused by a force rotation in | | | | sedation. |
| supination or direct trauma of the forearm in | | | | |