![]() ![]() After your arm has been in a cast for several weeks your physician will order more x-rays to confirm that the healing is even and the bones are knitting together. TreatmentĪlthough the exact treatment used depends on how severe the fracture is the conservative treatment for a Monteggia fracture is to cast it in order to immobilize the arm so the joint and the ulna have a chance to heal. They will take several angles so they can tell the full extent of your injury. To diagnosis a Monteggia fracture the radiographer will use an x-ray machine to visualize the joints and bones in your arm. This is referred to as a hyperpronation injury. Falling on an outstretched hand to break your fall.Hyperextension, which is when you move your tendons, muscles, or joints beyond the normal range of motion. ![]() A blow to the back of your upper forearm.You may also have swelling in your hand, wrist, and forearm.When looking at it you may or may not see any obvious dislocation but you may notice that there may be loss of range of motion at the elbow because of the dislocation.You may also have pain in your arm that gets worse every time you move your elbow or wrist.The only general symptoms of having a Monteggia fracture are swelling and pain at the elbow joint.This accounts for approximately five percent of these fractures and is referred to as a combined type. Type 4 - fracture of the middle third of your ulna and radius with the anterior, or front, dislocation of your radial head.This accounts for approximately twenty percent of these fractures and are referred to as a lateral type. Type 3 - fracture of the wide portion of your ulna, referred to as the metaphysis with the lateral, or the side, dislocation of your radial head.This accounts for approximately fifteen percent of fractures and is referred to as a flexion type. Type 2 - fracture of your middle third of your ulna with posterior, or back, dislocation of your radial head.This is most common in adults and children. This accounts for approximately sixty percent of these types of fractures and is referred to as an extension type. ![]()
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