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Monteggia's FractureAka: Monteggia's Dislocation

Signs
1. Ulna Fracture (Proximal third)
2. Radial Head Dislocation
Radiology: Forearm XRay
1. Ulna Fracture may not be obvious (greenstick Fracture)
2. Radial Head Dislocation may be overlooked
3. Xray joint above and below forearm (standard protocol)
  1. Wrist XRay
  2. Elbow XRay
Management
1. Child: Closed reduction may suffice
2. Adult: Open reduction and internal fixation (ORIF)

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This page was written by Scott Moses, MD. This page was last revised before 5/10/08, prior to consistent tracking of revision date. This page was last published on 6/1/2008. Please send comments and questions to the editor. Contact information may be found on the page About the Family Practice Notebook. These pages are best viewed with Microsoft Internet Explorer 6.0.