Title: Management of Delayed Presentation of Adult Monteggia Fracture Dislocation
Author: Dr Sanjai Kumar Singh
DOI: http://dx.doi.org/10.18535/jmscr/v3i8.69
DIDS : 08.2015-XXXXXXXX
Abstract
· Delayed Cases, However, Are Rare.
· Radial Head Is Always Dislocated And Ulna May Be In Nonunion Or Malunion.
· Traditional Technique – Over Gain The Ulner Lenth To Allow Smooth Relocation Of Radial Head.
· However, Relocation Of Redial Head Is Often Impossible – Due To Dense Scar Tissue In Radio Capitellar + Pruj.
· And Dissecting The Scar Tissue In The Proximal Joints Carries A Risk Of Posterior Interosseous Nerve Injury.
· Hence Radial Head Excision Is Recommended In Delayed Situations…
· With Out The Risk Of Proximal Migration Of Radius & Wrist Pain.