Monteggia fractures and Monteggia-like-lesions: a systematic review.

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Abstract

[Indexed for MEDLINE] Conflict of interest statement: No conflicts of interest or financial funding are declared by the authors. 3. J Hand Surg Am. 2021 Nov;46(11):1006-1015. doi: 10.1016/j.jhsa.2021.07.023. Epub 2021 Sep 7. Surgical Management of Complex Adult Monteggia Fractures. Xiao RC(1), Chan JJ(1), Cirino CM(1), Kim JM(2). Author information: (1)Department of Orthopedics, Icahn School of Medicine at Mount Sinai, New York, NY. (2)Department of Orthopedics, Icahn School of Medicine at Mount Sinai, New York, NY. Electronic address: jaehon@gmail.com. Monteggia fractures classically involve a proximal ulna fracture with an associated radial head dislocation. The presence of radial head/neck fracture and comminution of the proximal ulna with coronoid involvement elevates the complexity of surgical reconstruction considerably. The Jupiter classification captures this injury pattern as a subgroup of Bado posterior Monteggia lesions. Access to the critical coronoid fragment can be problematic from the posterior approach and may result in tenuous reduction and fixation, directly affecting the functional outcome. Multiple operative techniques have been described to address the broad spectrum of injuries seen in Monteggia fractures. This article will cover commonly used fixation techniques for Monteggia fractures with a comprehensive literature review, including technical tips, outcomes, and complications. Copyright © 2021 American Society for Surgery of the Hand. Published by Elsevier Inc. All rights reserved. DOI: 10.1016/j.jhsa.2021.07.023