Department of Orthopedic Surgery, University of Arizona College of Medicine - Phoenix, 1320 North 10th Street Suite A, Phoenix, AZ 85006, USA.
The CORE Institute, 18444 North 25th Avenue #210, Phoenix, AZ 85023, USA.
Hand Clin. 2020 Nov;36(4):479-484. doi: 10.1016/j.hcl.2020.07.002. Epub 2020 Sep 2.
Monteggia fracture-dislocation of the elbow is a fracture of the proximal ulna with associated dislocation of the radial head or radial neck fracture. In adults, this injury is managed with open reduction and internal fixation of the ulna fracture. Care should be taken to ensure anatomic reduction of the proximal ulna. If radial head dislocation or subluxation persists, reduction of the ulna should be reassessed. Rarely, interposed soft tissue may block radial head reduction, and requires removal. Complications include hardware prominence, stiffness, infection, heterotopic ossification, nerve injury, malunion or nonunion of the ulna, radioulnar synostosis, and persistent radial head instability.
孟氏骨折-肘关节脱位是尺骨近端骨折合并桡骨头或桡骨颈骨折脱位。成人患者需行切开复位内固定术治疗尺骨骨折。术中应注意恢复尺骨近端解剖复位。如果桡骨头脱位或半脱位持续存在，应重新评估尺骨复位情况。少见情况下，软组织嵌顿可能会阻碍桡骨头复位，此时需要切除嵌顿的软组织。术后并发症包括内固定物突出、关节僵硬、感染、异位骨化、神经损伤、尺骨愈合不良或不愈合、尺桡骨融合和桡骨头持续性不稳定。
