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Related Experiment Videos

The posterior Monteggia: a pathological lesion?

E S Haddad1, A R Manktelow, J S Sarkar

  • 1Lister Hospital, Stevenage, Herts, UK.

Injury
|March 1, 1996
PubMed
Summary

Posterior Monteggia fracture dislocations, often linked to corticosteroid use, are discussed. This study reviews the pathophysiology, treatment, and outcomes of six patients with this rare injury.

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Area of Science:

  • Orthopedic Surgery
  • Traumatology

Background:

  • Ulnar fractures with posterior radial head dislocation (Monteggia fracture dislocation) are considered uncommon.
  • A significant association between long-term corticosteroid therapy and this injury pattern was observed in recent cases.

Purpose of the Study:

  • To investigate the characteristics of posterior Monteggia fracture dislocations.
  • To elucidate the pathophysiology, treatment strategies, and outcomes for this complex fracture pattern.

Main Methods:

  • Retrospective case series analysis.
  • Review of six patients diagnosed with ulnar fracture and posterior radial head dislocation.
  • Analysis of treatment approaches and patient outcomes.

Main Results:

  • Six patients with posterior Monteggia fracture dislocation were treated.
  • Five of the six patients had a history of long-term corticosteroid therapy, suggesting a potential link.
  • The study discusses the pathophysiology, treatment, and outcomes of these complex injuries.

Conclusions:

  • Posterior Monteggia fracture dislocations may be more prevalent in patients on long-term corticosteroid therapy than previously thought.
  • Understanding the specific pathophysiology and tailored treatment is crucial for optimal outcomes in these complex injuries.

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