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Clin Sports Med 2020 Jul;39(3):623-636

The Steadman Clinic, Steadman Philippon Research Institute, 181 West Meadow Drive, Suite 400, Vail, CO 81657, USA. Electronic address:

The elbow joint consists of the humeroulnar, humeroradial, and proximal radioulnar joints. Elbow stability is maintained by a combination of static and dynamic constraints. Elbow fractures are challenging to treat because the articular surfaces must be restored perfectly and associated soft tissue injuries must be recognized and appropriately managed. Read More

BMC Musculoskelet Disord 2020 May 6;21(1):282. Epub 2020 May 6.

Department of Orthopaedics, Children's Hospital, Zhejiang University School of Medicine, 14th Floor, Inpatient Building, No. 3333 Binsheng Road, Hangzhou, Zhejiang, People's Republic of China.

Background: Monteggia equivalent lesion represents a series of combined elbow and forearm injuries that resemble typical Monteggia fracture either in presentation or mechanism. The term has gradually evolved since its introduction, as sporadic case reports continued to complement it. The aim of this study was to present a furthermore type of that lesion which no previous study had reported and arouse pediatric orthopedists' additional awareness of it. Read More

J Orthop 2020 Sep-Oct;21:207-212. Epub 2020 Mar 28.

University of Health Sciences, Kartal Dr. Lütfi Kırdar Research and Training Hospital, Department of Orthopaedics and Traumatology, Denizer St. Cevizli 34806, Kartal, İstanbul, Turkey.

Objectives: Management of missed Monteggia lesions presents a challenging clinical scenario for pediatric orthopaedic surgeons as the patient may be exposed to possible morbidities and increased complications. There are several evidenced surgical strategies described. We aimed to present 18 patients diagnosed within 4 months of injury who were treated using 4 of the identified many surgical strategies. Read More

J Bone Joint Surg Am 2020 Apr 2. Epub 2020 Apr 2.

Department of Pediatric Orthopaedics, Children's Hospital of Fudan University, Shanghai, China.

Background: Ulnar lengthening is a consensus treatment for hereditary multiple exostoses with radial head dislocation in pediatric patients; however, the optimal amount of ulnar lengthening remains unclear. It is necessary to look for a parameter to decide the amount of ulnar lengthening that will avoid recurrence and complications. The purpose of the present study was to confirm that proportional ulnar length (ulnar length/radial length) can be used as a scale for ulnar lengthening in pediatric patients. Read More

Instr Course Lect 2019 ;68:407-414

Since pediatric Monteggia fracture-dislocations were first described in 1814, they have been a complicated injury for orthopaedic surgeons to manage. These injuries typically consist of a fracture of the ulna with dislocation of the radial head. Unlike most pediatric injuries, Monteggia fracture-dislocations remodel very poorly, and the relationship between the radial head and the capitellum does not improve with time. Read More

Arthroscopy 2020 02;36(2):441

Ghent University Hospital.

Arthroscopic reduction and fixation techniques in elbow surgery are evolving, and more and more literature is describing good outcomes of new arthroscopic fixation methods for coronoid fractures, lateral collateral ligament tears, radial head fractures, or capsular avulsions. The possible next step could be to use all these different techniques in cases in which all the described lesions can be seen. However, the question is if this approach is too aggressive. Read More

Rev Bras Ortop (Sao Paulo) 2019 Dec 13;54(6):746-750. Epub 2019 Dec 13.

Departmento de Ortopedia, Government Medical College Hospital, Chandigarh, Índia.

Isolated anterior dislocation of the radial head is rarely reported. To date, only five cases have been reported in the world literature. In all of these cases, the patients presented with restricted supination-pronation movements of the forearm with maintained elbow flexion-extension. Read More

J Orthop Surg Res 2019 Nov 8;14(1):347. Epub 2019 Nov 8.

Department of Orthopaedics, The Second Affiliated Hospital of Soochow University, 1055 Sanxiang Road, Suzhou, 215006, China.

Background: The objective of the study was to depict the pathoanatomy of traumatic valgus instability of the elbow and to report clinical outcomes of primary operation.

Methods: Thirty-one patients presented with traumatic valgus instability of the elbow without dislocation. Thirty-one patients underwent surgical intervention of radial head fractures (28 open reduction and internal fixation and 3 radial head resection) and anatomical repair of the anterior bundle of medial collateral ligament (AMCL) with suture anchors. Read More

Adv Emerg Nurs J 2019 Oct/Dec;41(4):330-335

Emergency Nurse Practitioner Program, Vanderbilt University School of Nursing, Nashville, Tennessee.

Nursemaid's elbow, also known as radial head subluxation, is a common childhood orthopedic injury that can easily be diagnosed and reduced by the advanced practice nurse. It is most common in children 1-4 years of age and typically occurs as the result of a pulling mechanism on an outstretched arm. This leads to subluxation of the radial head at the annular ligament. Read More

J Shoulder Elbow Surg 2020 Jan 11;29(1):132-138. Epub 2019 Sep 11.

Orthopaedic and Trauma Unit, University of Modena and Reggio Emilia, Modena, Italy.

Background: The aim of this study was to determine the lateral ulnar collateral ligament (LUCL) injury associated with isolated radial head fracture (RHF) and the relationship of the ligament injury with the displacement of the fragment-loss of contact-in unstable displaced partial articular RHF in individuals without any history of ulnohumeral dislocation.

Methods: We retrospectively identified 131 consecutive patients who underwent open reduction and internal fixation of isolated closed Mason type II RHF performed at our institution. We identified 3 subsets by the pattern of RHF and the position of the unstable fragment (anterior or posterior) relative to the capitulum humeri: displaced stable (group I), displaced anterior unstable (group II), and displaced posterior unstable (group III). Read More

Vet Surg 2019 Oct 26;48(7):1271-1277. Epub 2019 Jul 26.

Division for Farm Animal Surgery, Vetsuisse Faculty, University of Zurich, Zurich, Switzerland.

Objective: To describe the clinical signs, conservative treatment, and short- and long-term outcomes of lateral radioulnar subluxation in cattle.

Animals: Three cattle with lateral radioulnar subluxation.

Study Design: Case series. Read More

J Shoulder Elbow Surg 2019 Aug;28(8):1468-1475

Department of Orthopedic Surgery, Osaka Medical College, Takatsuki, Japan.

Background: Radial head dislocation may occur during trauma or in association with congenital diseases, or it may be developmental or idiopathic. Reports of idiopathic dislocation of the radial head have been scarce. The symptoms, radiographic findings, and management of idiopathic dislocation of the radial head have not been well described in the literature. Read More

J Orthop Trauma 2019 Aug;33 Suppl 1:S13-S14

NYU Langone Medical Center, NYU Langone Orthopedic Hospital, New York, NY.

Introduction: Monteggia fractures are rare, although complex elbow injuries. Bado II Monteggia fractures are characterized by posterior dislocation of the radial head and concurrent fracture of the proximal or middle third of the ulna. This video demonstrates the open reduction and internal fixation of a complex Bado II Monteggia fracture dislocation. Read More

Unfallchirurg 2019 Sep;122(9):736-743

Klinik für Unfall‑, Hand- und orthopädische Chirurgie, Städtisches Klinikum Karlsruhe, Moltkestr. 90, 76133, Karlsruhe, Deutschland.

Transposition of the proximal radioulnar joint, so-called convergent elbow dislocation, is an extremely rare injury whereby the proximal radius crosses over the proximal ulnar and converges medially. This injury can occur in isolation or even less frequently in association with a posterior humeroulnar dislocation. Open reduction is almost always necessary. Read More

Injury 2019 Jun 27;50(6):1237-1241. Epub 2019 Apr 27.

Department of Orthopedics, The First Affiliated Hospital of Guangxi Medical University, 6 Shuangyong Road, Nanning, Guangxi, China; Research Centre for Regenerative Medicine, Guangxi Key Laboratory of Regenerative Medicine, Guangxi Medical University, 22 Shuangyong Road, Nanning, Guangxi, China. Electronic address:

Purpose: The aim of the study was to investigate the clinical outcomes of a combined anterior and posterior approach for the surgical treatment of chronic Monteggia fractures in children.

Materials And Methods: From November 2010 to January 2018, 33 patients (27 boys and 6 girls) with chronic Monteggia fracture who were treated surgically by one surgeon of our department were retrospectively analyzed. In the surgical procedure, open reduction and excision of fibrous scar were performed with the anterior Henry's approach, while ulnar osteotomy was carried out with a posterior approach. Read More

J Hand Surg Asian Pac Vol 2019 Jun;24(2):247-250

1 Department of Orthopaedic Surgery, Tokyo Women's Medical University, Tokyo, Japan.

We encountered a case of capitellum fracture with radial head dislocation in which it was challenging to diagnose whether the dislocation was coincident with the fracture or this was chronic dislocation that presented before the fracture. Chronic radial head dislocation may be congenital or could occur in patients with untreated post-traumatic dislocation, although diagnosis is particularly challenging if the radial head dislocation is unilateral. Classical capitellum fracture involves anterosuperior bone fragment dislocation. Read More

Medicine (Baltimore) 2019 Apr;98(16):e15310

Department of Orthopedics, Shengjing Hospital of China Medical University, Shenyang, China.

Rationale: The old Monteggia fracture is an uncommon lesion pattern in adult, which may lead to the potential complications such as recurrent dislocation of the radial head, heterotopic ossification of the elbow, nerve palsy, malunion of the ulna, and residual forearm deformity. However, the secondary distal radioulnar joint (DRUJ) dislocation is rarely reported in the similar lesion. Here we present a unique reoperation of old Monteggia fracture combined with secondary DRUJ disruption after the initial operation failure. Read More

Cureus 2019 Jan 21;11(1):e3924. Epub 2019 Jan 21.

Orthopedics and Traumatology, İzmir Bozyaka Training and Research Hospital, Izmir, TUR.

Isolated traumatic anteromedial radial head dislocation is an uncommon injury in adults. The brachialis tendon interposition rarely interferes with the radial head reduction procedure. In the present paper, we report the case of an 18-year-old male who sustained an injury to his right elbow during a wrestling match and developed isolated anteromedial radial head dislocation. Read More

Pediatr Emerg Care 2019 Apr;35(4):293-298

Assistant Professor and Director of Ultrasound (Gottlieb), Department of Emergency Medicine, Rush University Medical Center, Chicago, IL; Assistant Professor (Suleiman), Department of Orthopedic Surgery, Rush University Medical Center, Chicago, IL.

Pediatric orthopedic injuries are a common reason for presentation to the emergency department. This article sequentially discusses 2 important upper extremity injuries that require prompt management in the emergency department. Radial head subluxations are discussed with a focus on current evidence for imaging, reduction techniques, and follow-up. Read More

J Orthop Case Rep 2018 Nov-Dec;8(6):27-30

Department of Orthopaedics and Rehabilitation, Vanderbilt University Medical Center, Nashville, TN, USA.

Introduction: Elbow fractures are the most common pediatric fracture to require operative fixation and can be associated with significant morbidities such as vascular injury, neurologic injury, and loss of function. Specifically, the chronic Monteggia fracture-dislocation causes devastating losses in range of motion. Presenting as a proximal to midshaft ulna fracture and radiocapitellar joint disruption, the acute injury can be successfully managed with closed reduction, serial casting, and close follow-up. Read More

J Pediatr Orthop B 2019 May;28(3):256-266

Department of Pediatric Orthopedics and Traumatology, Istituto Ortopedico Rizzoli, Via Pupilli, Bologna, Italy.

The treatment of a missed Monteggia (MM) fracture dislocation is still controversial. We describe our initial experience with ulnar osteotomy and progressive correction with unilateral external fixator in MM. We retrospectively evaluated 20 children undergoing ulnar osteotomy and progressive distraction angulation by unilateral external fixator to treat MM. Read More

Chin J Traumatol 2019 Feb 30;22(1):59-62. Epub 2018 Dec 30.

Department of Orthopaedics & Traumatology, Universiti Kebangsaan Malaysia, Cheras, Kuala Lumpur, Malaysia.

Simultaneous ipsilateral fractures involving radial head and distal end of radius are uncommon. We present our thoughts on which fracture should be addressed first. A 68-year-old lady sustained an ipsilateral fracture of the right radial head and distal end of radius following a fall. Read More

Acta Biomed 2018 12 19;90(1-S):154-157. Epub 2018 Dec 19.

Orthopaedic and Traumatology Department, Hospital Santa Maria delle Croci, Ravenna, Italy.

Background: The annular ligament has a crucial role in the radial head stability and  it is critical to the proper functioning of the proximal  radio-capitellar joint. Its chronic injury may lead to radial head instability, elbow pain with decrease in motion and valgus deformity. Method: We present the case of a 53-year-old heavy laborer who reported a complex trauma of the right upper limb with a Floating Elbow Injury, associated to an open Monteggia fracture-dislocation. Read More

Orthop Surg 2019 Feb 4;11(1):102-108. Epub 2019 Feb 4.

Department of Pediatric Orthopaedics, The Third Hospital of Hebei Medical University, Shijiazhuang, China.

Objective: The treatment of missed Monteggia fracture remains a challenge, despite the various surgical methods described. The purpose of this study was to explore a new surgical technique utilizing external fixator-assisted ulnar osteotomy and to assess the surgical results in a case series.

Methods: Thirteen patients with missed Monteggia fractures were treated at our institution using this new surgical technique from August 2012 to January 2016. Read More

J Shoulder Elbow Surg 2019 Aug 1;28(8):1457-1467. Epub 2019 Feb 1.

Center for Orthopedic and Trauma Surgery, University Medical Center of Cologne, Cologne, Germany.

Background: Radial head fractures lead to persisting disability in a considerable number of cases. This study aimed to investigate their most common revision causes and procedures.

Methods: This multicenter retrospective study reviewed the cases of 466 adult patients who had undergone surgical revision after operative or nonoperative treatment of a radial head fracture. Read More

Medicine (Baltimore) 2019 Jan;98(2):e13942

Department of Pediatric Surgery.

Various methods are applied in the treatment of fresh and neglected Monteggia fractures. The purpose of this retrospective study was to evaluate the efficacy of various treatment methods, and assess the complexity associated with missed radial head dislocation.All fracture patients were reviewed between Jan 2012 and Dec 2016. Read More

Medicine (Baltimore) 2019 Jan;98(1):e13978

Department of Orthopaedic Surgery, Nippon Medical School, Tokyo, Japan.

Treatment of chronic Monteggia fracture-dislocations remains controversial in skeletally immature patients. The present study aimed to review the clinical outcomes of surgical treatment with an Ilizarov mini-fixator for chronic Monteggia fracture-dislocations in children. From April 2003 to March 2014, 5 pediatric patients (4 males, 1 female) with chronic Monteggia fracture-dislocation were treated with an Ilizarov mini-fixator at our institution. Read More

Orthop Traumatol Surg Res 2019 02 24;105(1S):S75-S87. Epub 2018 Dec 24.

Chirurgie orthopédique et traumatologique, CHU Charles-Nicolle, 1, rue de Germont, 76031 Rouen, France.

The appropriate management of early treatment failures in patients with elbow injuries requires the identification of the cause of failure. In this work, six types of elbow injury are considered: (i) identification of early failed reduction of a dislocation or fracture-dislocation of the elbow should lead to a repeat reduction procedure, testing for elbow instability, and ligament repair, followed by the use of a hinged external fixator to allow early mobilisation. Differentiating an isolated dislocation from a dislocation combined with a fracture of the coracoid process is crucial. Read More

J Orthop Trauma 2018 12;32(12):e469-e474

Department of Orthopaedics, University of British Columbia, Vancouver, BC, Canada.

Objectives: To identify associated injuries that occur in varus posteromedial rotatory instability (VPMRI) of the elbow and present their surgical management.

Design: Level II retrospective study.

Setting: Tertiary referral center. Read More

Acta Chir Orthop Traumatol Cech 2018 ;85(2):102-108

Department of Orthopaedic Surgery, The Affiliated Wujin Hospital of Jiangsu University, Changzhou, China.

PURPOSE OF THE STUDY This study aims to analyze the clinical and radiographic outcomes of a consecutive series of 18 patients with terrible triad injury. The coronoid fractures of these patients were repaired using Mother-Child screw (MCS). MATERIAL AND METHODS Twelve men and six women (mean age: 47. Read More

J Shoulder Elbow Surg 2018 Nov 14;27(11):e337-e343. Epub 2018 Sep 14.

Department of Orthopedic Surgery, University Hospitals Leuven, Pellenberg, Belgium.

Background: Pediatric Monteggia fractures are relatively rare and are commonly missed. Radial head subluxation can persist with long-term consequences if these fractures are left untreated. We evaluated the long-term treatment outcomes after open reduction with ulnar osteotomy for missed Monteggia fractures during childhood. Read More

J Am Acad Orthop Surg Glob Res Rev 2018 May 3;2(5):e035. Epub 2018 May 3.

Department of Orthopedic Surgery, Shiroyama Hospital, Habikino, Japan (Dr. Abe, Dr. Kumano, and Dr. Kinoshita), and the Department of Orthopedic Surgery, Osaka Medical College, Takatsuki, Japan (Dr. Hirofuji).

Background: In pediatric patients with Monteggia lesions, the radial head can be reduced manually when displacement of the fractured ulna is corrected. Occasionally, however, a dislocated radial head could not be reduced manually even when the length and/or angulation of the fractured ulna had been corrected. We can find such cases in the literature, but those are single case reports. Read More

Pan Afr Med J 2018 18;29:216. Epub 2018 Apr 18.

Department of Orthopaedic Surgery, University Hospital, Monastir 5000, Tunisia.

Monteggia described a fracture of the proximal third of the ulna with anterior dislocation of the radial head from both the proximal radioulnar and radiocapitellar joints. The key treatment principle in Monteggia fractures is stable anatomic alignment of the ulna. We present an uncommon case of a Monteggia fracture-dislocation with an unreducable anterior dislocation of the radial head and associated with a lesion of the lateral collateral ligament of the elbow. Read More

World J Orthop 2018 Jul 18;9(7):100-104. Epub 2018 Jul 18.

Department of Orthopaedic Surgery and Traumatology, Habib Bourguiba University Hospital, Sfax 3000, Tunisia.

Anterior transolecranon dislocation of the elbow is rarely observed in children, reported in only a small series. The present case involves an anterior transolecranon dislocation of the left elbow joint in a 7-year-old child, which was surgically treated. Two attempts of closed reduction failed because the radial head had buttonholed via the joint capsule. Read More

Bone Joint J 2018 08;100-B(8):1117-1124

Department of Orthopedic Surgery, Siriraj Hospital, Mahidol University, Bangkok, Thailand.

Aims: Delayed diagnosis is a well-known complication of a Monteggia fracture-dislocation. If left untreated, the dislocated radial head later becomes symptomatic. The purposes of this study were firstly, to evaluate the clinical and radiological results of open reduction of the radial head and secondly, to identify the factors that may affect the outcome of this procedure. Read More

J Int Med Res 2018 Aug 20;46(8):3053-3064. Epub 2018 Jul 20.

2 Department of Orthopaedics, Second Affiliated Hospital, School of Medicine, Zhejiang University, Hangzhou, Zhejiang Province, China.

Objective To report the results of the surgical treatment of terrible triad injury with anteromedial coronoid fracture through a combined surgical approach. Methods This retrospective study evaluated data from patients who underwent surgery to repair terrible triad injuries and anteromedial coronoid fractures. Surgical treatment involved radial head repair or replacement, medial and lateral collateral ligament repair, and coronoid fracture fixation through combined approaches. Read More

J Med Case Rep 2018 Jul 18;12(1):211. Epub 2018 Jul 18.

Hospital Sultan Ismail, Jalan Persiaran Mutiara Emas, Tmn Mount Austin, 81100, Johor Bahru, Malaysia.

Background: Blunt trauma causing brachial artery injury in a young patient is very rare. Cases of brachial artery injury may be associated with closed elbow dislocation or instability. Elbow dislocation may not be evident clinically and radiologically on initial presentation. Read More

Arch Argent Pediatr 2018 08;116(4):e630-e634

Instituto de Ortopedia y Traumatología "Carlos Ottolenghi", Hospital Italiano de Buenos Aires.

Anterior radial head dislocation in pediatric population is related to Monteggia fracture-dislocations. Isolated radial head dislocation is uncommon. Sometimes, radial head dislocation becomes irreducible. Read More

Open Orthop J 2018 31;12:189-195. Epub 2018 May 31.

Department of orthopaedics, Guru Gobind Singh Medical College and Hospital, Faridkot, Punjab, India.

Introduction: Dislocation of the radial head in adults is quite uncommon. A simultaneous dislocation of the radial head with a fracture of ipsilateral shaft radius without any other associated injury is even rare.

Case Presentation: We are reporting a case of a young adult male who was operated for proximal one-third radial shaft fracture at some peripheral centre by Open Reduction and Internal Fixation (ORIF), but came to our centre on the fourth post-operative day with complaints of painful restricted movements of the elbow joint. Read More

J Pediatr Orthop B 2019 Jan;28(1):67-72

Department of Orthopedic Surgery and Traumatology, Faculty of Medicine, Alexandria University, Alexandria, Egypt.

Bony exostoses are benign osteocartilaginous growths that start close to growth plates. Approximately 30-60% of patients have forearm deformities. The commonly encountered forearm deformities in these patients are bowing of the radius, with or without ulnar drift of the carpus, radial head dislocation, shortening of the ulna, and radial head dislocation. Read More

Tech Hand Up Extrem Surg 2018 Sep;22(3):81-88

Leni & Peter W. May Department of Orthopaedic Surgery, Mount Sinai Hospital, New York, NY.

Essex-Lopresti Lesions are rare injuries that are often missed in the acute setting. Delayed intervention may lead to chronic wrist and elbow pain and overall poor outcomes. The literature currently supports treatments that involve shortening of the ulna to reduce the relative degree of ulnar impaction, followed by attempted reduction of the distal radioulnar joint. Read More

Can Fam Physician 2018 06;64(6):439-441

Our practice is seeing children with relatively minor injuries to their elbows, with a history of "swinging" them when their hands are being held to cross the road. Nothing is usually found on a physical examination. I know that this is likely a "pulled elbow. Read More

Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi 2017 12;31(12):1409-1413

Department of Orthopedics, the First Hospital of Jilin University, Changchun Jilin, 130021,

Objective: To observe the effectiveness of reduction and fixation by the improved elbow anteromedial approach in treatment of ulna coronoid process fracture.

Methods: Between January 2010 and December 2014, 13 patients with the ulna coronoid process fracture were treated with reduction and fixation by the improved elbow anteromedial approach. There were 10 males and 3 females with an average age of 37. Read More

Unfallchirurg 2019 Mar;122(3):219-224

Chirurgische Universitätsklinik und Poliklinik, Berufsgenossenschaftliches Universitätsklinikum Bergmannsheil, Bochum, Deutschland.

Background: Radial head fractures are the most frequent fractures of the elbow joint in adults. For Mason type II fractures without concomitant injuries favorable results have been shown with operative and conservative management. There is insufficient evidence concerning elbow joint stability after conservative treatment compared to open reduction and internal fixation (ORIF). Read More

Int Orthop 2018 09 1;42(9):2165-2172. Epub 2018 May 1.

Department of Orthopedic Surgery, National Taiwan University Hospital, No.7, Chung-Shan South Road, Zhong-Zheng District, Taipei City, 100, Taiwan.

Introduction: The treatment of neglected radial head dislocation after missed Monteggia fracture dislocation in children is a controversial issue. The purpose of this study is to report our clinical experience in the treatment of the condition without annular ligament reconstruction.

Method: This is a retrospective review of 20 patients between 2008 and 2014. Read More

BMJ Case Rep 2018 Mar 28;2018. Epub 2018 Mar 28.

Department of Surgery, Sint Antonius Ziekenhuis, Utrecht, The Netherlands.

A 10-year-old girl presented to the emergency department with proximal radioulnar translocation and radial head fracture, after fall onto an outstretched hand. Open reduction was used to reduce and stabilise the elbow joint after which the radial head was fixated by Kirschner wires. Three months after surgery, full range of motion was regained and union of the radial head was achieved. Read More

J Hand Surg Am 2018 07 6;43(7):676.e1-676.e6. Epub 2018 Mar 6.

Private Practice, Madrid, Spain.

Purpose: To present a new arthroscopic method for treating supination losses.

Methods: Six patients (15-71 y) were eligible for this study. All had a history of trauma to the wrist more than 6 months previously. Read More

Medicine (Baltimore) 2017 Nov;96(47):e8609

Department of Pediatric Orthopedics, Shanghai Children's Medical Center, Shanghai Jiaotong University School of Medicine, Shanghai, China.

Open reduction combined with ulnar osteotomy is the most common approach to treating missed Monteggia injuries. The osteotomy is usually performed at the proximal ulna to ensure better healing and fewer complications. The purpose of this study is to present a center of rotation angulation (CORA)-based osteotomy of the ulna for treating Bado type I Monteggia injuries. Read More

Int J Surg 2018 Mar 3;51:49-55. Epub 2018 Feb 3.

Department of Orthopaedics Surgery, The Second Affiliated Hospital and Yuying Children's Hospital of Wenzhou Medical University, NO.109, Xue Yuan West Road, Wenzhou, Zhejiang Province, 325000, China. Electronic address:

Introduction: Dislocation of the elbow associated with radial head and coronoid fracture, the so-called "terrible triad" of the elbow, is challenging to treat and has a history of complicated outcomes. This study is to compare the clinical outcome of a single lateral approach-the extensile splitting extensor digitorum communis (EDC) approach and combined lateral and medial (CML) approaches for the treatment of terrible traid of the elbow (TTE).

Material And Methods: After appropriate exclusion, 60 TTE patients (28 patients in the EDC group, 32 patients in the CML group) from 2009 January to 2015 August were reviewed in this study. Read More

Adv J Emerg Med 2018 5;2(2):e19. Epub 2018 Jan 5.

Department of Emergency Medicine, Faculty of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran.

Introduction: Radial head subluxation (RHS) is a common disorder in children. Although it is not accompanied by any important short- or long-term sequel, it could make the parents worried about.

Objective: The purpose of this study was to determine the possible effective factors that may influence time to use the affected limb. Read More