Monteggia fracture-dislocation

Background

• Ulna fx (proximal third) + radial head dislocation
• Easy to overlook the radial head dislocation (will result in worse outcome)

Clinical Features

• Pain/swelling at elbow
• Radial head may be palpable in an anterolatera or posterolateral location

Management

• Consult ortho in the ED; likely requires ORIF

See Also

Forearm Fracture

Source

• Tintinalli