Distal Radioulnar Joint Subluxation Secondary to Excision of the Radial Head

Hergenröeder, Patrick T.; Gelberman, Richard H.

doi:10.3928/0147-7447-19800701-05

Cited by 12 publications

(1 citation statement)

References 5 publications

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“…For this rescue procedure, elbow instability and an ulna-plus variance has to be ruled out, as otherwise impingement of the lateral ulnar collateral ligament [57], rotational instability [58], limitation of movement [59] or subsequent osteoarthritis caused by increased load on the coronoid [60] may occur. In addition, proximal migration of the radius, resulting in wrist pain and restricted mobility of the elbow and wrist, as in the case of an Essex-Lopresti lesion, can occur [61,62]. The plastically deformed radial head is resected at the radial head-neck junction by an extended Kocher approach.…”

Section: Radial Head Resection With or Without Hemi-interposition Art...mentioning

confidence: 99%

Missed Monteggia Injuries in Children and Adolescents: A Treatment Algorithm

Wintges,

Cramer,

Mader

2024

Children

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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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