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Case: A preterm neonate with biochemical rickets is found to have a Monteggia fracture. The infant underwent percutaneous pinning. There was loss of fixation; however, the infant has been followed since discharge from the hospital and has completely healed with full range of motion.
Conclusions: The medical management of this entity involves enteral feedings and optimization of nutrients. The optimal surgical treatment of this injury in the neonatal period is not yet known, although percutaneous pinning resulted in normal healing and function. These aspects require clinician awareness of this unique fracture type in a premature patient with fragile bone.
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http://dx.doi.org/10.2106/JBJS.CC.19.00454 | DOI Listing |
Unfallchirurgie (Heidelb)
September 2025
Klinik für Orthopädie und Unfallchirurgie, Klinikum Nürnberg, Paracelsus Medizinische Privatuniversität, Breslauer Straße 201, 90471, Nürnberg, Deutschland.
Forearm shaft fractures are the most common fractures of the upper extremity in young adults. By definition, these fractures are diaphyseal fractures; however, due to the complex functional unity formed by the forearm shaft during motion both bone forearm fractures are treated as intra-articular fractures [1, 3]. This is why the gold standard of treatment in adults is osteosynthesis.
View Article and Find Full Text PDFJ Shoulder Elbow Surg
September 2025
Introduction: Complex proximal ulna fractures (including comminuted olecranon fractures and fracture-dislocations of the elbow) pose challenging management due to concomitant injuries to key stabilizers (radial head, coronoid process, and collateral ligaments). This study evaluates functional and radiographic outcomes following surgical treatment and explores the prognostic value of associated injuries, age stratification, and a new coronoid-centric classification system.
Methods: We retrospectively reviewed 43 patients with complex proximal ulna fractures treated between 2019 and 2024, with a minimum of 12 months follow-up (mean, 28 months).
Medicina (Kaunas)
August 2025
Department of Orthopedic Surgery, Pusan National University Yangsan Hospital, Yangsan 50612, Republic of Korea.
: Monteggia fracture-dislocations are rare but critical injuries in children. Accurate early diagnosis is essential to avoid long-term complications; however, such injuries are frequently missed. Therefore, this study aimed to assess the diagnostic accuracy of Monteggia fractures among physicians of varying specialties and experience levels and to identify factors influencing diagnostic performance.
View Article and Find Full Text PDFJ Shoulder Elbow Surg
August 2025
Shoulder and Elbow Unit - IRCCS Istituto Ortopedico Rizzoli, Bologna. Italy.
Background: Radial head arthroplasty (RHA) has increasingly become the standard treatment for non-reconstructable radial head fractures, especially in young active patients where long-lasting function restoration is of paramount importance. However, long-term evidence of the results over time is still scarce. The purpose of this study was to document the long-term outcomes of RHA for acute radial head fractures.
View Article and Find Full Text PDFJ Chin Med Assoc
July 2025
Department of Orthopaedics, Kaohsiung Veterans General Hospital, Kaohsiung, Taiwan, ROC.
Background: Monteggia fracture is defined as a combination of proximal ulnar fracture with radial head dislocation. Radial head dislocation may be misdiagnosed under elbow X-ray, leading to further complications. This study aimed to compare the ulnar fracture pattern characteristics between Monteggia fracture and an isolated proximal ulnar fracture in terms of how close the fracture site is to the coronoid and what type of fracture pattern is more likely to result in radial head dislocation.
View Article and Find Full Text PDF