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LO SCALPELLO-OTODI Educational

, Volume 32, Issue 3, pp 262–270 | Cite as

Classificazione, inquadramento diagnostico e trattamento della lesione di Monteggia in età pediatrica

  • Giovanni GalloneEmail author
  • Giovanni Trisolino
  • Giovanni Luigi Di Gennaro
  • Diego Antonioli
  • Stefano Stilli
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Classification, diagnosis and treatment of Monteggia lesions during childhood

Abstract

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.

Notes

Conflitto di interesse

Gli autori Giovanni Gallone, Giovanni Trisolino, Giovanni Luigi Di Gennaro, Diego Antonioli e Stefano Stilli dichiarano di non avere alcun conflitto di interesse.

Consenso informato e conformità agli standard etici

Tutte le procedure descritte nello studio e che hanno coinvolto esseri umani sono state attuate in conformità alle norme etiche stabilite dalla dichiarazione di Helsinki del 1975 e successive modifiche. Il consenso informato è stato ottenuto da tutti i pazienti inclusi nello studio.

Human and Animal Rights

L’articolo non contiene alcuno studio eseguito su esseri umani e su animali da parte degli autori.

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Copyright information

© Società Italiana Ortopedici Traumatologi Ospedalieri d’Italia 2018

Authors and Affiliations

  • Giovanni Gallone
    • 1
    Email author
  • Giovanni Trisolino
    • 1
  • Giovanni Luigi Di Gennaro
    • 1
  • Diego Antonioli
    • 1
  • Stefano Stilli
    • 1
  1. 1.Struttura Complessa di Ortopedia e Traumatologia Pediatricaistituto Ortopedico RizzoliBolognaItaly

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