What is Monteggia fracture

summary

The human body is made up of bones. Bones are the basic skeleton of our body. They are also very fragile and easy to fracture. I would like to share some knowledge about Monteggia fracture with you.

What is Monteggia fracture

First of all, 1 / 3 fracture of ulna combined with dislocation of radial head is called Monteggia fracture. Monteggia fracture mostly occurs in young adults and children, direct or indirect violence can cause. Monteggia, an Italian surgeon, first reported this type of fracture in 1914.

After trauma, the elbow and forearm swelled, and ulnar angulation or depression could be seen in cases with obvious displacement. The prolapsed radial head can be felt anterolaterally or posterolaterally. Forearm rotation is limited. The swelling is serious, and the local tenderness is obvious in those who can't feel clearly. Fracture is a kind of injury to the bone. Once fracture is found, go to the hospital for fixation in time to make the bone heal as soon as possible.

Finally, most of them can be treated by closed reduction. After anesthesia, the affected limb was placed on the spiral traction frame of the upper limb. Under traction, the operator pressed the radial head with one thumb and held the wrist of the child with the other hand. While drawing and rotating the forearm, the operator forced the radial head to return to its original position. At this time, the elbow joint of the affected limb can be bent to 70 ° to 80 ° so as to reduce the sliding out rate of the radial head. If the capitulum of radius is prolapsed backward, it should be slightly extended and fixed with plaster support. After a few days, the swelling subsided, and the upper limb plaster was replaced 1-2 times.

matters needing attention

People with Monteggia fracture should pay attention to bed rest, supplement more calcium and protein, don't eat some stimulating food, don't engage in very tired physical work, and let their body recover slowly.