Classificazione, inquadramento diagnostico e trattamento della lesione di Monteggia in età pediatrica
Abstract
CLASSIFICATION, DIAGNOSIS AND TREATMENT OF MONTEGGIA LESIONS DURING CHILDHOOD
Monteggia fractures represent the association of a fracture of the proximal ulna and luxation of the radial head. This
type of lesion is infrequent and may be misdiagnosed, particularly in paediatric patients. Classification of these
injuries is based on the scheme proposed by Bado and later supplemented by other authors to better discriminate
doubts and to guide the treatment. The treatment of choice of acute Monteggia lesions in the paediatric age is in most
cases conservative, and it involves reduction and immobilisation in a cast. Surgery is mostly reserved for complex cases
and for inveterate lesions that represent a high risk for chronic disorders and disabling sequelae; in these cases, the
choice of treatment remains controversial. The aim of this article is to describe the anatomical-pathological
characteristics, the diagnostic criteria, and the principles of treatment of Monteggia lesions in the paediatric age.
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© Società Italiana Ortopedici Traumatologi Ospedalieri d’Italia 2018 , 2018
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