Monteggia Fracture

Introduction
• A fracture is a break in the structural continuity
of bone.
• Most fractures are caused by sudden and
excessive force, which may be direct or indirect.
• With a direct force the bone breaks at the point
of impact; the soft tissues also are damaged.
• With an indirect force the bone breaks at a
distance from where the force is applied; soft-
tissue damage at the fracture site is not
inevitable.
Solomon L, Warwick D, Nayagam S. Apley’s S System of Orthopaedics and Trauma. 10th Edition. London: Hodder Arnold; 2018.
 Definition
The injury described by Monteggia in the early
nineteenth century (without benefit of x-rays!)
was a fracture of the shaft of the ulna
associated with proximal radial dislocation.

Solomon L, Warwick D, Nayagam S. Apley’s S System of Orthopaedics and Trauma. 10th Edition. London: Hodder Arnold; 2018.
Russel T A. Rockwood and Green’s Fracture in Adults. 8th Edition. Wolters Kluwer Health. 2015.
 Epidemiology
• Monteggia fracture dislocations represent
approximately 1% to 2% of forearm fractures.
• Type 1 fractures are considered the most
frequent type in children.
• Type 2 account for up to 80% of Monteggia
fracture dislocations in adults.

Russel T A. Rockwood and Green’s Fracture in Adults. 8th Edition. Wolters Kluwer Health. 2015.
 Anatomy-Osteology

Thompson Jon C. Netter’s Concise Orthopaedic Anatomy. 2nd Edition. Saunders, Elsevier. Philadelphia, USA; 2010.
 Anatomy-Muscles

Thompson Jon C. Netter’s Concise Orthopaedic Anatomy. 2nd Edition. Saunders, Elsevier. Philadelphia, USA; 2010.
 Anatomy-Muscles

Thompson Jon C. Netter’s Concise Orthopaedic Anatomy. 2nd Edition. Saunders, Elsevier. Philadelphia, USA; 2010.
 Anatomy-Muscles

Thompson Jon C. Netter’s Concise Orthopaedic Anatomy. 2nd Edition. Saunders, Elsevier. Philadelphia, USA; 2010.
 Anatomy-Nerve

Thompson Jon C. Netter’s Concise Orthopaedic Anatomy. 2nd Edition. Saunders, Elsevier. Philadelphia, USA; 2010.
 Anatomy-Nerve

Thompson Jon C. Netter’s Concise Orthopaedic Anatomy. 2nd Edition. Saunders, Elsevier. Philadelphia, USA; 2010.
 Anatomy-Artery

Thompson Jon C. Netter’s Concise Orthopaedic Anatomy. 2nd Edition. Saunders, Elsevier. Philadelphia, USA; 2010.