0071643192.pdf

ORTHOPEDICS

TREATMENT

Sugar-tong splint, referral to orthopedics for ORIF. Because this is an unstable

fracture, closed reduction is usually unsuccessful.

COMPLICATIONS

Ulnar nerve injury, compartment syndrome

MONTEGGIAFRACTURE

Ulnafracture (usually proximal shaft) with radial head dislocation (see

Figure 4.8)

MECHANISM

FOOSH

DIAGNOSIS

■ Suspect if patient has significant pain and swelling to the elbow

■ X-ray shows proximal ulnar shaft fracture with radial head dislocation.

TREATMENT

Reduction, long arm splint, ORIF

COMPLICATIONS

Radial nerve injury, compartment syndrome

FIGURE 4.8. Monteggia fracture.

(Reproduced, with permission, from Knoop KJ, Stack LB, Storrow AB.Atlas of Emergency

Medicine, 2nd ed. New York, McGraw-Hill, 2002:297.)

GRUMble,GRUMble,

how do I remember

these forearm

fractures?

Galeazzi=Radial

fracture and

radioulnar dislocation.

Monteggia=Ulnar

fracture with radial

dislocation.