Complex Monteggia Fractures in the Adult Cohort: Injury and Management.

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Abstract

[Indexed for MEDLINE] 6. Eur J Orthop Surg Traumatol. 2025 Nov 27;36(1):24. doi: 10.1007/s00590-025-04597-7. Monteggia fracture‑dislocations in children: a structured approach to management. Matheron G(1), Wadia F(2), Eastwood D(1), Spanoudakis E(2), Chui K(1), Segaren N(1), Rad DR(2), Vampertzis T(3)(4). Author information: (1)Department of Paediatric Orthopaedics, Royal National Orthopaedic Hospital, London, UK. (2)Department of Paediatric Orthopaedics, University Hospital Southampton NHS Foundation Trust, Southampton, UK. (3)Department of Paediatric Orthopaedics, Royal National Orthopaedic Hospital, London, UK. themisvamper@yahoo.com. (4)School of Medicine, Aristotle University of Thessaloniki, Thessaloniki, Greece. themisvamper@yahoo.com. The Monteggia injury, a combination of an ulnar fracture and proximal radial dislocation, is an uncommon but high-stakes paediatric injury that is frequently missed at initial presentation. Early recognition is crucial, as delayed diagnosis is associated with malunion, instability, restrictions in rotation, and deformity. The aim of this review is to highlight key concepts relevant to exams and clinical practice, including the epidemiology, anatomy, classification, and evidence-based management of both acute and neglected Monteggia injuries. © 2025. The Author(s), under exclusive licence to Springer-Verlag France SAS, part of Springer Nature. DOI: 10.1007/s00590-025-04597-7