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Review
. 2014 Jul;39(7):1384-94.
doi: 10.1016/j.jhsa.2014.02.024. Epub 2014 May 3.

Monteggia fracture dislocations: a historical review

Shady A Rehim  1 , Mallory A Maynard  1 , Sandeep J Sebastin  2 , Kevin C Chung  1
Affiliations
Review

Monteggia fracture dislocations: a historical review

Shady A Rehim et al. J Hand Surg Am. 2014 Jul.

Abstract

The eponym Monteggia fracture dislocation originally referred to a fracture of the shaft of the ulna accompanied by anterior dislocation of the radial head that was described by Giovanni Battista Monteggia of Italy in 1814. Subsequently, a further classification system based on the direction of the radial head dislocation and associated fractures of the radius and ulna was proposed by Jose Luis Bado of Uruguay in 1958. This article investigates the evolution of treatment, classification, and outcomes of the Monteggia injury and sheds light on the lives and contributions of Monteggia and Bado.

Keywords: Forearm fracture dislocation; Giovanni Battista Monteggia; Jose Luis Bado; Monteggia fracture; ulna fracture.

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Figures

Figure 1
Figure 1
Cover page of Givoanni Monteggia textbook Istituzioni Chirurgiche second edition published in 1814 including the original description of the Monteggia fracture.
Figure 2
Figure 2
Showing an X-ray of a 32-year-old patient who had a malunion of ulna fracture that was treated with an open reduction and an osteoperiosteal graft.
Figure 3
Figure 3
X-rays showing a Monteggia fracture of a young man (left) and his 1 year-postoperative radiograph following open reduction and fixation of the ulna shaft fracture by a vitallium plate and a fascial sling to maintain the reduction of the head of the radius.
Figure 4
Figure 4
Demonstrating another method of fixation of Monteggia fracture using intramedullary pins as described by Thomas and Hamilton.
Figure 5
Figure 5
Typical fracture pattern of posterior variant of Monteggia lesion as described by Penrose.
Figure 6A-D
Figure 6A-D
Incorporate in Table 1. No separate figure legends required.
Figure 6A-D
Figure 6A-D
Incorporate in Table 1. No separate figure legends required.
Figure 6A-D
Figure 6A-D
Incorporate in Table 1. No separate figure legends required.
Figure 6A-D
Figure 6A-D
Incorporate in Table 1. No separate figure legends required.
Figure 7A-E
Figure 7A-E
Incorporate in Table 2. No separate figure legends required.
Figure 7A-E
Figure 7A-E
Incorporate in Table 2. No separate figure legends required.
Figure 7A-E
Figure 7A-E
Incorporate in Table 2. No separate figure legends required.
Figure 7A-E
Figure 7A-E
Incorporate in Table 2. No separate figure legends required.
Figure 8A-D
Figure 8A-D
Incorporate in Table 3. No separate figure legends required.
Figure 8A-D
Figure 8A-D
Incorporate in Table 3. No separate figure legends required.
Figure 8A-D
Figure 8A-D
Incorporate in Table 3. No separate figure legends required.
Figure 8A-D
Figure 8A-D
Incorporate in Table 3. No separate figure legends required.
Figure 9
Figure 9
A long dorsal contoured plate achieved healing with good alignment of a posterior Monteggia lesion. Note replacement of radial head with radial head prothesis that achieved adequate articulation at the radiocapitellar joint.
Figure 10
Figure 10
Giovanni Battista Monteggia (1762-1815).
Figure 11
Figure 11
Jose Luis Bado (1903-1977).
See this image and copyright information in PMC

References

    1. Monteggia GB. Lussazioni delle ossa delle estremita superiori. In: Monteggia GB, editor. Instituzioni Chirurgiches. 2nd Vol. 5. Maspero; Milan, Italy: 1814. pp. 131–133.
    1. Perrin J. Les fractures du cubitus accompagnees de luxation de l'extremite superieur du radius. In: Perrin J, editor. These de Paris. G Steinheil; Paris, France: 1909.
    1. Bado JL. La lesion de Monteggia. Inter-Medica Sarandi; 1958. p. 328.
    1. Bado JL. The Monteggia lesion. Charles C. Thomas; Springfield, IL: 1959.
    1. Bado JL. The Monteggia lesion. Clin Orthop. 1967;50:71–86. - PubMed

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