Bado Classification: Difference between revisions
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{{CMG}}; {{AE}}[[User:DrMars|Mohammadmain Rezazadehsaatlou[2]]]. | {{CMG}}; {{AE}}[[User:DrMars|Mohammadmain Rezazadehsaatlou[2]]]. | ||
==Bado Classification<ref name="pmid24792923">{{cite journal |vauthors=Rehim SA, Maynard MA, Sebastin SJ, Chung KC |title=Monteggia fracture dislocations: a historical review |journal=J Hand Surg Am |volume=39 |issue=7 |pages=1384–94 |date=July 2014 |pmid=24792923 |pmc=4266382 |doi=10.1016/j.jhsa.2014.02.024 |url=}}</ref><ref name="pmid25714935">{{cite journal |vauthors=Goyal T, Arora SS, Banerjee S, Kandwal P |title=Neglected Monteggia fracture dislocations in children: a systematic review |journal=J Pediatr Orthop B |volume=24 |issue=3 |pages=191–9 |date=May 2015 |pmid=25714935 |doi=10.1097/BPB.0000000000000147 |url=}}</ref>== | |||
'''Monteggia Fracture-Dislocations''' | '''Monteggia Fracture-Dislocations''' | ||
{| class="wikitable" | {| class="wikitable" | ||
Revision as of 12:37, 17 April 2019
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Mohammadmain Rezazadehsaatlou[2].
Bado Classification[1][2]
Monteggia Fracture-Dislocations
| Bado Classification for the Monteggia Fracture-Dislocations | Mechanism of Injury | |
| Type I
60% of cases |
Fracture of the proximal or middle third of the ulna with anterior dislocation of the radial head (most common in children and young adults) | (1) direct blow to posterior elbow
(2) hyper-pronated force on an outstretched arm (3) contracted biceps resists forearm extension causing dislocation and followed by impact leading to ulna fracture |
| Type II
15% of cases |
Fracture of the proximal or middle third of the ulna with posterior dislocation of the radial head (70 to 80% of adult Monteggia fractures) | (1) Axial load directed up the forearm with a slightly flexed elbow |
| Type III
20% of cases |
Fracture of the ulnar metaphysis (distal to coronoid process) with lateral dislocation of the radial head | (1) Varus force on an extended elbow leads to a greenstick fracture of the ulna |
| Type IV
5% of cases |
Fracture of the proximal or middle third of the ulna and radius with dislocation of the radial head in any direction | (1) Rarest type and poorly understood mechanism. |
| Jupiter Classification of Type II Monteggia Fracture-Dislocations | |
| Type IIA | Coronoid level |
| Type IIB | Metaphyseal-diaphyseal junction |
| Type IIC | Distal to coronoid |
| Type IID | Fracture extending to distal half of ulna |
Related Chapters
References
- ↑ Rehim SA, Maynard MA, Sebastin SJ, Chung KC (July 2014). "Monteggia fracture dislocations: a historical review". J Hand Surg Am. 39 (7): 1384–94. doi:10.1016/j.jhsa.2014.02.024. PMC 4266382. PMID 24792923.
- ↑ Goyal T, Arora SS, Banerjee S, Kandwal P (May 2015). "Neglected Monteggia fracture dislocations in children: a systematic review". J Pediatr Orthop B. 24 (3): 191–9. doi:10.1097/BPB.0000000000000147. PMID 25714935.