Fractures of the ulna with dislocation of the radial head (fracture montedzha)

Fracture is the result of direct trauma and is more common in riders.
Symptoms. Observed deformation and shortening of the forearm. When the extensor fractures Montedzha angle formed by the bone fragments ulna, open posteriorly. Palpated serving under the skin head radius. Movement of the elbow severely restricted if not impossible. X-ray examination clarifies the diagnosis.
Treatment extensor Montedzha fracture type is usually conservative. Under local anesthesia or general anesthesia is reduction of bone fragments ulnar bone and the simultaneous reduction of dislocation head beam. Then applied a plaster cast from the middle of the shoulder to the heads of the metacarpal bones. Immobilization lasts 6 weeks, followed by X-ray control the elbow. With unsteady head its fixed beam transarticular with metal spokes. In these cases, immobilization lasts up to 8 weeks.

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