Type I Monteggia Fractures

Abstract

Type I Monteggia fractures are defined as proximal ulna fracture with associated anterior dislocation of the radial head (Bae, J Pediatr Orthop, 36:S67--S70, 2016; Bado, Clin Orthop Relat Res, 50(1):71--86, 1967). These injuries make up the most common Monteggia fracture type in children, but often require high clinical suspicion to prevent missed diagnosis (Monteggia, Instituzioni chirurgiches, 5:131--133, 1814). Irregular and incomplete ossification of the skeletally immature elbow limits the accurate interpretation of static radiographs. While some controversy exists as to which fracture patterns warrant surgical stabilization, operative options include elastic stable intramedullary nailing (ESIN) or open reduction and internal fixation of the ulna with secondary reduction of the radiocapitellar joint. For severe injuries, additional open reduction of the radiocapitellar joint may be necessary.