Baldwin Keith D, Hosseinzadeh Pooya, Milbrandt Todd A, Abzug Joshua M
Instr Course Lect. 2019;68:407-414.
Since pediatric Monteggia fracture-dislocations were first described in 1814, they have been a complicated injury for orthopaedic surgeons to manage. These injuries typically consist of a fracture of the ulna with dislocation of the radial head. Unlike most pediatric injuries, Monteggia fracture-dislocations remodel very poorly, and the relationship between the radial head and the capitellum does not improve with time. As such, a more attentive approach is necessary. It is important for orthopaedic surgeons to be knowledgeable about the history of Monteggia fractures, common pathologic mechanisms, closed reduction techniques, surgical indications and methods, and outcomes, in addition to preferred management principles.
自1814年首次描述小儿孟氏骨折脱位以来，它们一直是骨科医生难以处理的复杂损伤。这些损伤通常包括尺骨骨折伴桡骨头脱位。与大多数小儿损伤不同，孟氏骨折脱位的重塑能力很差，桡骨头与肱骨小头之间的关系不会随时间改善。因此，需要更谨慎的处理方法。除了首选的治疗原则外，骨科医生了解孟氏骨折的历史、常见病理机制、闭合复位技术、手术适应症和方法以及治疗结果也很重要。
