Population

Mathematics

Reduction (mathematics)

Surgery

Fixation (population genetics)

Geometry

Osteotomy

Arthrotomy

Ulna

Kirschner wire

Elbow

Arthroscopy

Ligament

Deformity

Internal fixation

Medicine

Environmental health

JBJS Reviews

* Careful scrutiny of radiographs is important in the assessment of pediatric elbow injuries. Disruption of the radiocapitellar line and an increased bow of the posterior ulnar border are sometimes subtle signs of a Monteggia injury. * An attempt at closed reduction up to 4 weeks after injury has been cited in the literature as successfully treating some missed injuries. * Operative reduction of chronic radial-head dislocation provides good to excellent range of motion and functional outcome in the setting of irreducible chronic radial-head dislocation. * Ulnar osteotomy and correction of the ulnar deformity component of the missed Monteggia injury are the key to indirect anatomic reduction of the radiocapitellar joint. * Supplemental procedures aimed at increasing the stability of the radiocapitellar joint (e.g., annular ligament reconstruction, radiocapitellar Kirschner wire fixation, radioulnar Kirschner wire fixation) should be directed by a thorough assessment of radiocapitellar stability following ulnar osteotomy and correction of the ulnar deformity.

Missed Pediatric Monteggia Fractures