What is Where?

This patient has fractures as exhibited from a common from a fall to outstretched hand with his forearm pronated. What is the name of this injury? How is it best treated? What are potential complications?

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Moderator's Response
This is a Monteggia Fracture This fracture is of the ulna with associated anterior dislocation of the radial head. It is most common from a fall to outstretched hand with forearm pronated. Complications include: radial neuropathy (PIN), malunion of ulna (rare), recurrent dislocation. It is managed by immobilizing in elbow flexion of 70- 90 degrees depending on type of injury with moderate supination for 4 weeks. AROM is then started.

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