Monteggia fracture-dislocation in children.
نویسندگان
چکیده
Monteggia fracture-dislocations are uncommon in childhood. Correct early diagnosis is essential to avoid elbow dysfunction and the necessity for open reduction of the radial head. This retrospective analysis of 220 forearm fractures in children shows that 50% of Monteggia fractures were misdiagnosed by accident and emergency (A&E) department senior house officers (SHOs) and 25% were misdiagnosed by senior radiologists. Instruction in correct clinical and radiological examination of the elbow joint in children to junior A&E doctors, with early review of suspicious cases by senior medical staff, may help to reduce the incidence of missed Monteggia fractures.
منابع مشابه
Variants of Monteggia Type Injury: Case Reports
BACKGROUND Monteggia fracture-dislocation is rare in children. Various reports attest to its rarity, while recording the many variant of this injury. It is, therefore, easy to miss the diagnosis in the absence of proper clinical examination and radiographs. CASE REPORT This report highlights two rare variants of Monteggia fracture-dislocation seen in children. The first case was a 12-year old...
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متن کاملMonteggia fracture-dislocations in children.
Thirty-three Monteggia fracture-dislocations occurring in patients aged 2 to 15 years were reviewed. A follow-up of 2 to 7 years in 25 patients revealed that 88% had good to excellent results and 12% had results which were fair or poor. Closed reduction was successful in 24 of 28 cases and appeared to be very effective. Open reduction was required only for older children or when treatment was b...
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متن کاملDislocation of the head of the radius associated with fracture of the upper end of the ulna in children.
Traumatic dislocation of the head of the radius in children may be either an isolated injury or, more commonly, part of a more complex injury to the elbow, such as the Monteggia fracture-dislocation. in that injury the dislocation of the head of the radius is described as anterior or posterior and the fracture of the ulna affects its shaft (Watson-Jones 1956). Wise (1941) reported a case of lat...
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عنوان ژورنال:
- Journal of accident & emergency medicine
دوره 11 3 شماره
صفحات -
تاریخ انتشار 1972