In this section
Monteggia fracture-dislocations - Emergency Department
Table 1: Recommended follow-up schedule for Monteggia fracture-dislocation.
Subsequent review appointments
Discharge advice to parents
7 days post-reduction with x-ray dependent on stability of the injury
At 2 weeks post-reduction with x-ray
At 3 weeks post-reduction with x-ray. Change of plaster may be required
At 6 weeks post-reduction with x-ray
Attend GP if the child develops pain or has deterioration in elbow/forearm range of movement (ROM)
2-3 months for return to full contact sports
Assessment of reduction of the radiocapitellar joint and position. It should be concentric on both AP and lateral x-ray views of the elbow.
The position of the ulna fracture should also be assessed.
Indications for a consultant orthopaedic surgeon opinion are:
Healed fracture, with full elbow ROM and no persistent neurologic injury.
Waters PM. Monteggia fracture-dislocation in children. In Rockwood and Wilkins' Fractures in Children, 7th Ed. Beaty JH, Kasser JR (Eds). Lippincott Williams & Wilkins, Philadelphia 2010. p.446-74.