Monteggia fracture dislocation @ MURH Flashcards
1
Q
Definition @MURH
A
PROXIMAL 1/3 ULNA FRACTURE
RADIUS HEAD DISLOCATION
2
Q
Mechanism
A
FOOSH with hyperextended elbow and pronation injury
2
Q
Bados classification
A
Type 1 : Ulna @ angulation = anterior , radius @ dislocation = anterior
Type 2 : Posterior
Type 3 : lateral
type 4 : anterior with # of radius
3
Q
Clinical feature
A
PAin
Swelling
Deformity
Restricted movement
May be associated with vessel or nerve injury
4
Q
Xray
A
Mclaughlin line disrupted = straight line from centre of shaft of radius cuts capitulim in centre
5
Q
treament
A
Children
Adult
6
Q
Children
A
closed reduction and full arm cast for 3 weeks
7
Q
Adult
A
ORIF ( radial head reduces itself after length of ulna restored)
8
Q
Complication
A
Malunion
non union
cross union
PIN injury leading to wrist drop and thumd drop
Myossitis ossificans
