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<p>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.</p>

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Monteggia fracture‑dislocations in children: a structured approach to management

  • 期刊论文

  • 发表日期：

    2025年11月27日

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  • George Matheron,
  • Farokh Wadia,
  • Deborah Eastwood,
  • Emmanuel Spanoudakis,
  • Karen Chui,
  • Neil Segaren,
  • Darius Rares Rad,
  • Themistoklis Vampertzis

摘要

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.