Gleeson A P, Beattie T F
Accident and Emergency Department, Royal Aberdeen Children's Hospital.
J Accid Emerg Med. 1994 Sep;11(3):192-4. doi: 10.1136/emj.11.3.192.
Monteggia fracture-dislocations are uncommon in childhood. Correct early diagnosis is essential to avoid elbow dysfunction and the necessity for open reduction of the radial head. This retrospective analysis of 220 forearm fractures in children shows that 50% of Monteggia fractures were misdiagnosed by accident and emergency (A&E) department senior house officers (SHOs) and 25% were misdiagnosed by senior radiologists. Instruction in correct clinical and radiological examination of the elbow joint in children to junior A&E doctors, with early review of suspicious cases by senior medical staff, may help to reduce the incidence of missed Monteggia fractures.
孟氏骨折脱位在儿童中并不常见。早期正确诊断对于避免肘关节功能障碍以及避免对桡骨头进行切开复位至关重要。这项对220例儿童前臂骨折的回顾性分析表明，50%的孟氏骨折被急诊（A&E）科住院医师误诊，25%被高级放射科医生误诊。对初级急诊医生进行儿童肘关节正确临床和放射学检查的培训，并由高级医务人员对可疑病例进行早期复查，可能有助于降低孟氏骨折漏诊的发生率。
