What is Monteggia fracture-dislocation?
What is Monteggia fracture-dislocation?
A Monteggia fracture-dislocation refers to dislocation of the radial head (proximal radioulnar joint) with fracture of the ulna.
What is dislocation of Tarsometatarsal joint?
A Lisfranc fracture-dislocation involves injury to the bony and soft tissue structures of the tarsometatarsal joint, and patients typically present to the ED with pain particularly with weight bearing; with swelling; and after a characteristic mechanism of injury such as high-velocity trauma.
What is Lisfranc fracture-dislocation?
A Lisfranc dislocation or injury describes a spectrum of injuries involving the tarsometatarsal joints of the foot. The Lisfranc joint is comprised of the articulation between the first, second, and third metatarsals bones and the cuneiform bones.
How do you fix a broken Monteggia?
Comminuted or long oblique ulna fractures are fixed by ORIF using plates and screws. Operative management is crucial for the majority of adult Monteggia fractures. Adults are more prone to the persistent angulation and shortening despite closed reduction techniques. The most common operative repair is an ORIF.
Which nerve is involved in Monteggia fracture?
Posterior interosseous nerve palsy is the most common nerve injury in Monteggia fracture-dislocations,. Most of these injuries are neuropraxia and recover slowly after the anatomical reduction of the radial head.
How is a metatarsal dislocation treated?
Dislocations often spontaneously reduce. Nonetheless, because these injuries usually compromise foot function and cause residual pain and arthritis, patients should be immediately referred to an orthopedic specialist, usually for surgery. Typically, definitive treatment is ORIF or fusion of the midfoot.
How do you treat a metatarsal fracture?
Treatment of metatarsal fractures depends on the type and extent of the fracture and may include:
- Rest. Sometimes rest is the only treatment needed to promote healing of a stress or traumatic fracture of a metatarsal bone.
- Avoid the offending activity.
- Immobilization, casting or rigid shoe.
- Surgery.
- Follow-up care.
How long does a Monteggia fracture take to heal?
The recovery time is 6–12 weeks. A mild hyperextension deformity is seen in 39–45% of children after Monteggia fracture-dislocation. Persistent dislocation of the radial head limits elbow movement and causes an increase in the carrying angle in some children.
