Case Reports
Three Cases of Pediatric Monteggia Fracture-Dislocation Associated With Acute Plastic Bowing of the Ulna
Am J Orthop. 2007 May;36(5):E80-E82
Author and Disclosure Information
Mitsuhiko Nanno, MD, Takuya Sawaizumi, MD, and Hiromoto Ito, MD
Dr. Nanno is Assistant Professor, Department of Orthopaedic Surgery, Nippon Medical School, Musashikosugi Hospital, Kawasaki, Japan.
Dr. Sawaizumi is Associate Professor, and Dr. Ito is Professor and Chairman, Department of Orthopaedic Surgery, Nippon Medical School, Main Hospital, Tokyo, Japan.
Abstract not available. Introduction provided instead.
Monteggia fracture-dislocation with acute plastic bowing of the ulna is rare in children. For fresh injuries, manual repositioning of the dislocated radial head is initially attempted. When this reduction fails, there are 3 treatment options: open reduction of the humeroradial joint, immobilization of the humeroradial joint or proximal radioulnar joint with a wire, and manual correction of ulna bowing. However, there is no consensus as to which option is best.
Recently, we treated 3 children with Monteggia fracture-dislocation with acute plastic bowing of the ulna. In 2 cases, we attempted to correct the ulnar bowing manually (we were successful in 1 case). In the study reported here, we evaluated the importance and the necessity of manual correction of ulnar bowing within the early postinjury period.