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Journal of Bone and Joint Surgery - British Volume, Vol 89-B, Issue 6, 836-838.
doi: 10.1302/0301-620X.89B6.18975  
Copyright © 2007 by British Editorial Society of Bone and Joint Surgery
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The influence of lateral and anterior angulation of the proximal ulna on the treatment of a Monteggia fracture

AN ANATOMICAL CADAVER STUDY

W. Grechenig, MD, Professor1; H. Clement, MD, Orthopaedic Surgeon1; W. Pichler, MD, Orthopaedic Surgeon1; N. P. Tesch, MD, Professor2; and G. Windisch, MD, Anatomist2

1 Department of Traumatology, Medical University of Graz, Auenbruggerplatz 7A, A-8036 Graz, Austria.
2 Anatomical Institute, Medical University of Graz, Harrachgasse 21, A-8010, Graz, Austria.

Correspondence should be sent to Dr W. Pichler; e-mail: wolfgang.pichler{at}klinikum-graz.at

We have investigated the anatomy of the proximal part of the ulna to assess its influence on the use of plates in the management of fractures at this site. We examined 54 specimens from cadavers. The mean varus angulation in the proximal third was 17.5° (11° to 23°) and the mean anterior deviation 4.5° (1° to 14°). These variations must be considered when applying plates to the dorsal surface of the ulna for Monteggia-type fractures. A pre-operative radiograph of the contralateral elbow may also be of value.






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