Skip to main content

Advertisement

SpringerLink
Log in

Chronic acquired radial head dislocations associated with ulnar bowing in children. Report of three cases

Luxation chronique de la tête radiale associée à une courbure ulnaire chez l’enfant. A propos de trois cas

  • Case Report
  • Published:
European Journal of Orthopaedic Surgery & Traumatology Aims and scope Submit manuscript

Abstract

The most common cause of chronic radial head dislocations is Monteggia lesions. Although acute, Monteggia fractures in children are easy to treat; complex reconstruction techniques may be required to reduce and stabilize chronic radial head dislocations. Early, accurate diagnosis and appropriate treatment remain the key factors for successful results in Monteggia or equivalent lesions in children.

Résumé

La cause la plus commune des luxations chroniques de la tête radiale sont les lésions de Monteggia. Bien qu’il soit facile de traiter les fractures fraîches de Monteggia chez les enfants, des techniques complexes de reconstruction peuvent être exigées pour réduire et stabiliser des luxations chroniques de la tête radiale. Le diagnostic précoce et précis et le traitement approprié demeurent les facteurs principaux de succès dans les fractures de Monteggia ou dans les lésions équivalentes chez les enfants.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Fig. 1
Fig. 2
Fig. 3
Fig. 4

Similar content being viewed by others

References

  1. Boyd HB, Boals JC (1969) The Monteggia lesion: a review of 159 cases. Clin Orthop 66:94–100

    PubMed  CAS  Google Scholar 

  2. Santos MM (2002) Monteggia fractures in children. In: Duparc J (ed) Surgical techniques in orthopaedics and traumatology, vol 4. Editions Scientifiques et Medicales Elsevier SAS, Paris, 256 pp, 55-250-A-30

  3. Wilkins KE (2002) Changes in the management of Monteggia fractures. J Pediatr Orthop 22(4):548–554

    Article  PubMed  Google Scholar 

  4. Ring D, Jupiter JB, Waters PM (1998) Monteggia fractures in children and adults. J Am Acad Orthop Surg 6(4):215–224

    PubMed  CAS  Google Scholar 

  5. Lincoln TL, Mubarak SJ (1994) “Isolated” traumatic radial-head dislocation. J Pediatr Orthop 14(4):454–457

    PubMed  CAS  Google Scholar 

  6. Kim HT, Conjares JN, Suh JT, Yoo CI (2002) Chronic radial head dislocation in children, part 1: pathologic changes preventing stable reduction and surgical correction. J Pediatr Orthop 22(5):583–590

    Article  PubMed  Google Scholar 

  7. Kim HT, Park BG, Suh JT, Yoo CI (2002) Chronic radial head dislocation in children, part 2: results of open treatment and factors affecting final outcome. J Pediatr Orthop 22(5):591–597

    Article  PubMed  Google Scholar 

  8. Inoue G, Shionoya K (1998) Corrective ulnar osteotomy for malunited anterior Monteggia lesions in children. 12 patients followed for 1–12 years. Acta Orthop Scand 69(1):73–76

    Article  PubMed  CAS  Google Scholar 

  9. Exner GU (2001) Missed chronic anterior Monteggia lesion. Closed reduction by gradual lengthening and angulation of the ulna. J Bone Joint Surg Br 83(4):547–550

    Article  PubMed  CAS  Google Scholar 

  10. Gicquel Ph, De Billy B, Karger Cl, Maximin MC, Clavert JM (2000) Treatment of neglected Monteggia’s fracture by ulnar lengthening using the Ilizarov technique. Rev Chir Orthop Reparatrice Appar Mot 86(8):844–847

    PubMed  CAS  Google Scholar 

  11. Hoffer MM, Phipps GJ (2000) Surgery about the elbow for brachial palsy. J Pediatr Orthop 20(6):781–785

    PubMed  CAS  Google Scholar 

  12. Eng GD, Koch B, Smokvina MD (1978) Brachial plexus palsy in neonates and children. Arch Phys Med Rehabil 59(10):458–464

    PubMed  CAS  Google Scholar 

  13. Hasler CC, Von Laer L, Hell AK (2005) Open reduction, ulnar osteotomy and external fixation for chronic anterior dislocation of the head of the radius. J Bone Joint Surg Br 87(1):88–94

    PubMed  CAS  Google Scholar 

  14. Gyr BM, Stevens PM, Smith JT (2004) Chronic Monteggia fractures in children: outcome after treatment with the Bell-Tawse procedure. J Pediatr Orthop B 13(6):402–406

    PubMed  Google Scholar 

  15. Degreef I, De Smet L (2004) Missed radial head dislocations in children associated with ulnar deformation: treatment by open reduction and ulnar osteotomy. J Orthop Trauma 18(6):375–378

    Article  PubMed  CAS  Google Scholar 

  16. Gunther P, Wessel LM (2002) [Corrective interventions after elbow para-articular fractures in childhood]. Unfallchirurg 105(5):478–482

    Article  PubMed  CAS  Google Scholar 

  17. Papandrea R, Waters P (2000) Posttraumatic reconstruction of the elbow in the pediatric patient. Clin Orthop 370:115–126

    Article  PubMed  Google Scholar 

  18. Rodgers WB, Waters PM, Hall JE (1996) Chronic Monteggia lesions in children. Complications and results of reconstruction. J Bone Joint Surg Am 78(9):1322–1329

    PubMed  CAS  Google Scholar 

  19. Hurst LC, Dubrow EN (1983) Surgical treatment of symptomatic chronic radial head dislocation: a neglected Monteggia fracture. J Pediatr Orthop 3(2):227–230

    PubMed  CAS  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Department of Orthopedics and Traumatology, Medical Faculty of Istanbul University, Istanbul, Turkey

    Bora Goksan, Mehmet Demirhan, Korhan Ozkan, Hayati Durmaz & Feyyaz Cıftcı

  2. Department of Physical Therapy and Rehabilitation, Medical Faculty of Marmara University, Istanbul, Turkey

    Feyza Unlu Ozkan

  3. Department of Orthopedics and Traumatology, İstanbul Goztepe Education and Research Hospital, Istanbul, Turkey

    Melih Guven

  4. Department of Orthopedics and Traumatology, Zeynep Kamil Research and Education Hospital, Gomec sok sadıka sabancı sit, A3 daire 19, Kadıkoy, Istanbul, Turkey

    Korhan Ozkan

Authors
  1. Bora Goksan
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Mehmet Demirhan
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Korhan Ozkan
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. Hayati Durmaz
    View author publications

    You can also search for this author in PubMed Google Scholar

  5. Feyza Unlu Ozkan
    View author publications

    You can also search for this author in PubMed Google Scholar

  6. Feyyaz Cıftcı
    View author publications

    You can also search for this author in PubMed Google Scholar

  7. Melih Guven
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Korhan Ozkan.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Goksan, B., Demirhan, M., Ozkan, K. et al. Chronic acquired radial head dislocations associated with ulnar bowing in children. Report of three cases. Eur J Orthop Surg Traumatol 17, 325–329 (2007). https://doi.org/10.1007/s00590-006-0158-0

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00590-006-0158-0

Keywords

Mots clés

Search

Navigation