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Review
. 2025 Nov 27;36(1):24.
doi: 10.1007/s00590-025-04597-7.

Monteggia fracture‑dislocations in children: a structured approach to management

George Matheron  1 , Farokh Wadia  2 , Deborah Eastwood  1 , Emmanuel Spanoudakis  2 , Karen Chui  1 , Neil Segaren  1 , Darius Rares Rad  2 , Themistoklis Vampertzis  3   4
Affiliations
Review

Monteggia fracture‑dislocations in children: a structured approach to management

George Matheron et al. Eur J Orthop Surg Traumatol. .

Abstract

The Monteggia injury, a combination of an ulnar fracture and proximal radial dislocation, is an uncommon but high-stakes paediatric injury that is frequently missed at initial presentation. Early recognition is crucial, as delayed diagnosis is associated with malunion, instability, restrictions in rotation, and deformity. The aim of this review is to highlight key concepts relevant to exams and clinical practice, including the epidemiology, anatomy, classification, and evidence-based management of both acute and neglected Monteggia injuries.

Keywords: Bado classification; Forearm trauma; Monteggia fracture; Paediatric; Proximal radial dislocation.

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Conflict of interest statement

Declarations. Conflict of interest: The authors declare no competing interests.

References

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