The Monteggia Fracture-Dislocation in Children

Abstract

Fifteen cases of fracture of the ulnar shaft associated with dislocation of the radial head in children were studied. The injury is most common in the age range of five to nine years and consists almost entirely of the anterior or lateral type of dislocation. Early diagnosis and prompt treatment permit satisfactory stable reduction by closed methods in most cases. Although general anesthesia is sometimes necessary, many such injuries may be reduced with local anesthesia or no anesthesia. Immobilization for 5 or 6 weeks is sufficient, and recovery of full function in 2 to 4 weeks after cast removal is common.