Monteggia and equivalent lesions in childhood

J Pediatr Orthop. Mar-Apr 1989;9(2):219-23.


One hundred two children with acute Monteggia lesions treated over a 25 year period were reviewed. Using the Bado classification system, type 1 (53%) and type 3 (26%) fractures were the most common. The type 1 equivalent injury associated with a proximal radius fracture is more common in children than previously reported. The majority of injuries could be treated with closed reduction, except the type 1 equivalent lesions, which required operative treatment in 10 of 14 children. Varus angulation of the ulna was the most common deformity after closed treatment. Nerve injuries occurred in 11% of the injuries, and resolved in all cases without operative treatment.

Publication types

  • Review

MeSH terms

  • Adolescent
  • Child
  • Child, Preschool
  • Female
  • Fracture Fixation
  • Humans
  • Infant
  • Joint Dislocations / therapy*
  • Male
  • Monteggia's Fracture / classification
  • Monteggia's Fracture / therapy*
  • Radial Nerve / injuries
  • Radius / injuries*
  • Radius Fractures / therapy*
  • Retrospective Studies
  • Ulna Fractures / therapy*