Pediatric Monteggia fractures: a single-center study of the management of 40 patients

Journal of Pediatric Orthopedics
Andreas LeonidouOmiros Leonidou

Abstract

Early identification and conservative management of pediatric Monteggia fractures has been shown to correlate with good results. Nevertheless, several authors advocate more aggressive management with open reduction and internal fixation (ORIF) for unstable fractures. We herein present the experience of a tertiary pediatric hospital in the management of Monteggia fractures. Forty patients with Monteggia fractures (26 male and 14 female) were admitted and treated over a period of 20 years (1989 to 2009). The age of the patients ranged between 3 and 14 years (mean 7.5 y). On the basis of the Bado classification, 28 fractures were type I, 3 were type II, 8 type III, and 1 fracture was classified as type IV. Out of the 40 patients, 32 were managed with manipulation under anesthesia (MUA) and above-elbow plaster, whereas 8 underwent ORIF of the ulna. To assess outcomes, the Bruce, Harvey, and Wilson scoring system was used. Range of movement, pain, and deformity were evaluated to class an outcome as excellent, good, fair, or poor. Patients were followed up for an average of 4.6 years (range, 1 to 7 y). All patients in the MUA group had excellent results. In the ORIF group, 8 out of 9 patients had good results. According to our record...Continue Reading

References

Mar 1, 1989·Journal of Pediatric Orthopedics·B W Olney, M B Menelaus
Nov 1, 1985·The Journal of Bone and Joint Surgery. British Volume·J J Wiley, J P Galey
Sep 1, 1994·Journal of Accident & Emergency Medicine·A P Gleeson, T F Beattie
Feb 1, 1996·The Journal of Bone and Joint Surgery. American Volume·D RingD M Spencer
Apr 1, 1997·Clinical Orthopaedics and Related Research·U GivonH Horoszowski
Jul 31, 1998·The Journal of the American Academy of Orthopaedic Surgeons·D RingP M Waters
Oct 19, 2000·Handchirurgie, Mikrochirurgie, plastische Chirurgie : Organ der Deutschsprachigen Arbeitsgemeinschaft für Handchirurgie : Organ der Deutschsprachigen Arbeitsgemeinschaft für Mikrochirurgie der Peripheren Nerven und Gefässe : Organ der Vereinigung der Deut·P AngermannS Pechlaner
Oct 1, 2007·Journal of Children's Orthopaedics·Alexandre LädermannAndré Kaelin
Jun 3, 2009·The Journal of Bone and Joint Surgery. American Volume·Koichi NakamuraHiroyuki Kato
Feb 6, 2010·Zeitschrift für Orthopädie und Unfallchirurgie·K F KuminackP C Strohm

❮ Previous
Next ❯

Citations

May 19, 2017·Journal of Pediatric Orthopedics·Ian ForanAndrew T Pennock
Aug 12, 2016·Journal of Pediatric Orthopedics. Part B·Roger D M WaltonColin E Bruce
Oct 13, 2020·Hand Clinics·Tyler C Miller, Felicity G Fishman

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.