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OrthoVellum

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Hand & Upper Limb
intermediate
X-Type

Monteggia Fracture-Dislocation

Forearm Injuries

A 7-year-old child falls on his outstretched arm and presents with a painful, swollen forearm. Radiographs show an angulated proximal ulna fracture. The radiographs appear to only show the forearm. The treating physician should be concerned about an associated injury that might have been missed on the initial imaging. Regarding Monteggia fracture-dislocations:

Mark each as TRUE or FALSE

A

A Monteggia fracture-dislocation consists of a proximal ulna fracture with an associated radial head...

B

The Bado classification describes four types based on the direction of radial head dislocation: Type...

C

Isolated ulna fractures never have associated radial head dislocation; the radiocapitellar line does...

D

In children, most Monteggia injuries are Type I (anterior dislocation); closed reduction with immobi...

E

In adults, ORIF of the ulna fracture is typically required; anatomic reduction and stable fixation o...

Answer the questions to see explanations

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