Bilateral Monteggia fracture in adults

Introduction. In 1814 Giovanni Monteggia first described two cases of fractures of the proximal third of ulna with dislocation of the radial head. These fractures are more common in children than in adults, and mutual Monteggia fracture is a rare complication. This study presents a treatment cou...

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Main Authors: Ristić Dejan, Jovanović Nebojša, Cvetković Voja, Stanković Biljana, Vračević Branislav
Format: Article
Language:English
Published: Ministry of Defence of the Republic of Serbia, University of Defence, Belgrade 2011-01-01
Series:Vojnosanitetski Pregled
Subjects:
Online Access:http://www.doiserbia.nb.rs/img/doi/0042-8450/2011/0042-84501104363R.pdf
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author Ristić Dejan
Jovanović Nebojša
Cvetković Voja
Stanković Biljana
Vračević Branislav
author_facet Ristić Dejan
Jovanović Nebojša
Cvetković Voja
Stanković Biljana
Vračević Branislav
author_sort Ristić Dejan
collection DOAJ
description Introduction. In 1814 Giovanni Monteggia first described two cases of fractures of the proximal third of ulna with dislocation of the radial head. These fractures are more common in children than in adults, and mutual Monteggia fracture is a rare complication. This study presents a treatment course of a patient with bilateral Monteggia fracture. Case report. A 55- year-old patient was injured by falling in the yard. Radiography showed bilateral Monteggia fracture type II (by the Badon classification). Operative treatment of fracture was done by a compression plate on the right side and by the zuggurtung technique on the left one. Closed repositioning of the radial head was done on both sides. The patient was wearing a plaster splint for the upper arm for 21 days. After removing the fixation, the function of the elbow was determined by the Broberg Morrey score (BM) which was on the right side 45.5 and on the left side 47.5. After the proper physical therapy, four months after the surgery, BM score was 100 on the right side, and 93 on the left one. Conclusion. Surgical treatment and early rehabilitation is the key for the return of good function of both elbows.
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series Vojnosanitetski Pregled
spelling doaj-art-87f732bdac214fa69d1db932d501b9142025-08-20T03:38:05ZengMinistry of Defence of the Republic of Serbia, University of Defence, BelgradeVojnosanitetski Pregled0042-84502011-01-0168436336510.2298/VSP1104363RBilateral Monteggia fracture in adultsRistić DejanJovanović NebojšaCvetković VojaStanković BiljanaVračević BranislavIntroduction. In 1814 Giovanni Monteggia first described two cases of fractures of the proximal third of ulna with dislocation of the radial head. These fractures are more common in children than in adults, and mutual Monteggia fracture is a rare complication. This study presents a treatment course of a patient with bilateral Monteggia fracture. Case report. A 55- year-old patient was injured by falling in the yard. Radiography showed bilateral Monteggia fracture type II (by the Badon classification). Operative treatment of fracture was done by a compression plate on the right side and by the zuggurtung technique on the left one. Closed repositioning of the radial head was done on both sides. The patient was wearing a plaster splint for the upper arm for 21 days. After removing the fixation, the function of the elbow was determined by the Broberg Morrey score (BM) which was on the right side 45.5 and on the left side 47.5. After the proper physical therapy, four months after the surgery, BM score was 100 on the right side, and 93 on the left one. Conclusion. Surgical treatment and early rehabilitation is the key for the return of good function of both elbows.http://www.doiserbia.nb.rs/img/doi/0042-8450/2011/0042-84501104363R.pdfulna fracturesradiusdislocationsinternal fixatorsrehabilitation
spellingShingle Ristić Dejan
Jovanović Nebojša
Cvetković Voja
Stanković Biljana
Vračević Branislav
Bilateral Monteggia fracture in adults
Vojnosanitetski Pregled
ulna fractures
radius
dislocations
internal fixators
rehabilitation
title Bilateral Monteggia fracture in adults
title_full Bilateral Monteggia fracture in adults
title_fullStr Bilateral Monteggia fracture in adults
title_full_unstemmed Bilateral Monteggia fracture in adults
title_short Bilateral Monteggia fracture in adults
title_sort bilateral monteggia fracture in adults
topic ulna fractures
radius
dislocations
internal fixators
rehabilitation
url http://www.doiserbia.nb.rs/img/doi/0042-8450/2011/0042-84501104363R.pdf
work_keys_str_mv AT risticdejan bilateralmonteggiafractureinadults
AT jovanovicnebojsa bilateralmonteggiafractureinadults
AT cvetkovicvoja bilateralmonteggiafractureinadults
AT stankovicbiljana bilateralmonteggiafractureinadults
AT vracevicbranislav bilateralmonteggiafractureinadults