Musa Abdullahi Agaba-Idu
Department of Surgery, Usmanu Danfodiyo University, Teaching, Hospital, Sokoto, Nigeria.
Afr Health Sci. 2006 Dec;6(4):252-4. doi: 10.5555/afhs.2006.6.4.252.
Fracture of proximal ulna and dislocation of the proximal radio-ulna joint in the same arm is called Monteggia fracture- dislocation. Four clinical variants of this fracture- dislocation have been described in literature. This is a report and description of initial management of a fracture- dislocation, which was consequent to a sideswipe injury and consisted of a combination of the following injuries; lateral dislocation of the radial head, fractures of the olecranon and proximal ulna in the left forearm. The radial head dislocation and fracture of the olecranon were open. The head of the radius was exposed through the same wound. This fracture-dislocation resembled type 3 Bado's classification of Monteggia fracture-dislocation because of fracture of the olecranon close to the coronoid process and lateral dislocation of the head of radius.
同一手臂的尺骨近端骨折和桡尺近端关节脱位称为孟氏骨折脱位。文献中已描述了这种骨折脱位的四种临床变体。本文报告并描述了一例因侧方撞击伤导致的骨折脱位的初期处理情况,该损伤合并了以下几种损伤:桡骨头外侧脱位、尺骨鹰嘴骨折以及左前臂尺骨近端骨折。桡骨头脱位和尺骨鹰嘴骨折为开放性损伤。桡骨头通过同一伤口暴露。由于尺骨鹰嘴靠近冠状突处骨折以及桡骨头外侧脱位,该骨折脱位类似于巴多孟氏骨折脱位分类中的3型。