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Journal of Bone and Joint Surgery - British Volume, Vol 88-B, Issue 1, 84-89.
doi: 10.1302/0301-620X.88B1.16704  
Copyright © 2006 by British Editorial Society of Bone and Joint Surgery
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The posterior Monteggia lesion with associated ulnohumeral instability

E. J. Strauss, MD, Resident1; N. C. Tejwani, MD, Associate Professor1; C. F. Preston, MD, Resident1; and K. A. Egol, MD, Assistant Professor, Chief of Orthopaedic Trauma Service1

1 Department of Orthopaedic Surgery, NYU-Hospital for Joint Diseases, 301 E 17th Street, New York, NY 10003, USA.

Correspondence should be sent to Dr K. A. Egol; e-mail: kenneth.egol{at}med.nyu.edu

The type II Monteggia (posterior) lesion is a rare injury which is sometimes associated with ulnohumeral instability. We have reviewed 23 of 28 patients with this injury. A clinical and radiographic assessment was undertaken at follow-up. Functional outcome scores, including the Broberg and Morrey Index and the Disabilities of the Arm, Shoulder or Hand (DASH), were used. The results from the six patients with associated posterior ulnohumeral dislocation were compared with 17 without ulnohumeral injury. Those with dislocation had reduced movement of the elbow and had outcome scores indicative of greater disability compared to those without associated dislocation.




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The posterior Monteggia lesion with associated ulnohumeral instability
Ahmadreza Afshar
J Bone Joint Surg Br Online, 4 Aug 2006 [Full text]

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Hip, Knee, Trauma, Upper limb, Foot & Ankle, Paediatrics, Oncology, Spine, Arthroplasty, General