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

Matheron, George; Wadia, Farokh; Eastwood, Deborah; Spanoudakis, Emmanuel; Chui, Karen; Segaren, Neil; Rad, Darius Rares; Vampertzis, Themistoklis · Eur J Orthop Surg Traumatol · 2025

review · Level V

Where this comes from

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.

Medical subject headings

Anatomy