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Trauma
intermediate
X-Type

Monteggia Fracture-Dislocation

Forearm Trauma

A 45-year-old man presents after falling onto his outstretched arm with the forearm in forced pronation. He has significant pain, swelling, and deformity of the proximal forearm. Examination reveals tenderness over the proximal ulna and radial head region with limited elbow motion. Radiographs show an anteriorly angulated proximal ulna fracture with anterior dislocation of the radial head. The radiocapitellar line is disrupted. Regarding Monteggia fracture-dislocation:

Mark each as TRUE or FALSE

A

Monteggia fracture-dislocation consists of a fracture of the ulna shaft with associated dislocation ...

B

The Bado classification: Type I (60-70%, anterior radial head dislocation with anteriorly angulated ...

C

Monteggia involves radius fracture with ulnar head dislocation; isolated ulna fractures never have r...

D

Adult treatment: anatomic reduction and rigid fixation of the ulna fracture usually results in spont...

E

Pediatric Monteggia: closed reduction is often successful as the ulna fracture is typically a plasti...

Answer the questions to see explanations

Click T (True) or F (False) for each option