ReviewChildren (Basel, Switzerland)2024
Missed Monteggia Injuries in Children and Adolescents: A Treatment Algorithm.
Review in Children (Basel, Switzerland), 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.
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Who cites it
8 citing papers in PubMed, 7 citations in OpenAlex.
- Three-Dimensional Surgical Planning and Patient-Specific Osteotomy Guide in the Management of Chronic Monteggia Fracture: A Case Report.Journal of orthopaedic case reports · 2026Article
- Radiocapitellar Alignment in Suspected Pediatric Monteggia Lesions: Narrative Review and Imaging Interpretation Framework.Diagnostics (Basel, Switzerland) · 2026Review
- Pediatric Chronic Monteggia Fractures: Insights From a Comprehensive Review.Pediatric discovery · 2025Review
- Monteggia fracture‑dislocations in children: a structured approach to management.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2025Review
- A Case Series on Management of Neglected Monteggia Fractures.Journal of orthopaedic case reports · 2025Article
- Surgical and Nonsurgical Treatment of Pediatric Monteggia Fractures: A Systematic Review.Journal of the Pediatric Orthopaedic Society of North America · 2025Article
- Challenges in Diagnosing Pediatric Monteggia Fractures: Role of Clinical Experience and Imaging.Medicina (Kaunas, Lithuania) · 2025Article
- Management of Pediatric Elbow Fractures and Dislocations.Children (Basel, Switzerland) · 2024Review
Corrections and comments
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Authors and funding
3 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Monteggia injuries are rare childhood injuries. In 25-50% of cases, however, they continue to be overlooked, leading to a chronic Monteggia injury. Initially, the chronic Monteggia injury is only characterized by a moderate motion deficit, which is often masked by compensatory movements. Later, however, there is a progressive valgus deformity, neuropathy of the ulnar nerve and a progressive deformity of the radial head ("mushroom deformity") with ultimately painful radiocapitellar arthrosis. In the early stages, when the radial head is not yet deformed and there is no osteoarthritis in the humeroradial joint, these injuries can be treated with reconstruction procedures. This can be achieved either by an osteotomy of the proximal ulna with or without gradual lengthening. If there is already a severe deformity of the radial head and painful osteoarthritis, only rescue procedures such as functional radial head resection or radial head resection with or without hemi-interposition arthroplasty can be used to improve mobility and, above all, to eliminate pain. In this review article, we provide an overview of the current treatment options of chronic Monteggia injury in children and adolescents and present a structured treatment algorithm depending on the chronicity and dysplastic changes.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.