Inveterate luxation of Monteggia. Modified Bell-Tawse technique

Authors

  • Libertad Cáceres Sánchez Hospital San Juan de Dios del Aljarafe. Bormujos, Sevilla
  • David M. Farrington Hospital Universitario Virgen del Rocío. Sevilla

DOI:

https://doi.org/10.1016/j.rccot.2016.11.001

Keywords:

dislocation, elbow, Monteggia, children

Abstract

Monteggia’s injury is a fracture of the proximal ulna which is associated with anterior dislocation of the proximal radioulnar joint. It is not a common injury in children (it only represents 2% of fractures of the elbow) and inveterate cases are even more unusual. Many surgical treatments have been proposed for this injury. Nevertheless, there is not a general agreement regarding the necessity of the annular ligament reconstruction. Here we describe the modified technique of Bell-Tawse in a 5 and a half year patient with inveterate Monteggia injury.

Downloads

Download data is not yet available.

Author Biographies

Libertad Cáceres Sánchez, Hospital San Juan de Dios del Aljarafe. Bormujos, Sevilla

Servicio de Cirugía Ortopédica y Traumatología, Hospital San Juan de Dios del Aljarafe, Bormujos, Sevilla.

David M. Farrington, Hospital Universitario Virgen del Rocío. Sevilla

Unidad de Cirugía Ortopédica y Traumatología Infantil, Hospital Universitario Virgen del Rocío, Sevilla.

References

Stanley Earl A, De la Garza José F. Fractura luxación de Monteggia. En: Rockwood Charles A, Wilkins Kaye E, editores. Fracturas en el niño. Madrid: Marbán; 2007. p. 529-60.

Best TN. Management of old unreduced Monteggia fracture dislocations of the elbow in children. J Pediatr Orthop. 1994;14:193-9. https://doi.org/10.1097/01241398-199403000-00012

Korner J, Hansen M, Weinberg A, Hessmann H, Rommens PM. Monteggia fractures in childhood, diagnosis and management in acute and chronic cases current concepts and review of the literature. Eur J Trauma. 2004;30:361-70. https://doi.org/10.1007/s00068-004-1343-7

Stoll TM, Willis RB, Paterson DC. Treatment of the missed Monteggia fracture in the child. J Bone Joint Surg Br. 1992;74:436-40. https://doi.org/10.1302/0301-620X.74B3.1587897

Hui JH, Sulaiman AR, Lee HC, Lam KS, Lee EH. Open reduction and annular ligament reconstruction with fascia of the forearm in chronic Monteggia lesions in children. J Pediatr Orthop. 2005;25:501-6. https://doi.org/10.1097/01.bpo.0000158812.37225.b3

Bell Tawse AJS. The treatment of malunited anterior Monteggia fractures in children. J Bone and Joint Surg B. 1965;47- B:718-23. https://doi.org/10.1302/0301-620X.47B4.718

Seel MJ, Peterson HA. Management of chronic posttraumatic radial head dislocation in children. J Pediatr Orthop. 1999;19:306-12. https://doi.org/10.1097/01241398-199905000-00006

Evans EM. Pronation injuries of the forearm with special reference to the anterior Monteggia fracture. J Bone Jt Surg. 1949;31-B:578-88. https://doi.org/10.1302/0301-620X.31B4.578

Freedman L, Luck K, Leong JC. Radial head reduction after a missed Monteggia fracture: brief report. J Bone Jt Surg. 1988;70B:846-7. https://doi.org/10.1302/0301-620X.70B5.3192599

Rodgers WB, Waters PM, Hall JE. Chronic Monteggia lesions in children. Complications and results of reconstruction. J Bone Joint Surg Am. 1996;78:1322-9. https://doi.org/10.2106/00004623-199609000-00005

Downloads

Published

2016-12-02

How to Cite

1.
Cáceres Sánchez L, Farrington DM. Inveterate luxation of Monteggia. Modified Bell-Tawse technique. Rev. Colomb. Ortop. Traumatol. [Internet]. 2016 Dec. 2 [cited 2025 May 10];30(4):167-71. Available from: https://revistasccotorg.biteca.online/index.php/rccot/article/view/383

Issue

Vol. 30 No. 4 (2016)

Section

Case report

License

Copyright (c) 2024 Revista Colombiana de ortopedia y traumatología

Creative Commons License

This work is licensed under a Creative Commons Attribution 3.0 Unported License.