The influence of lateral and anterior angulation of the proximal ulna on the treatment of a Monteggia fracture: AN ANATOMICAL CADAVER STUDY

W. Grechenig; H. Clement; W. Pichler; N. P. Tesch; G. Windisch

doi:10.1302/0301-620X.89B6.18975

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The influence of lateral and anterior angulation of the proximal ulna on the treatment of a Monteggia fracture

AN ANATOMICAL CADAVER STUDY

W. Grechenig
H. Clement
W. Pichler
N. P. Tesch
G. Windisch

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The influence of lateral and anterior angulation of the proximal ulna on the treatment of a Monteggia fracture

Grechenig W, Clement H, Pichler W, Tesch NP, Windisch G. The influence of lateral and anterior angulation of the proximal ulna on the treatment of a Monteggia fracture. J Bone Joint Surg Br. 2007;89-B(6):836-838. doi:10.1302/0301-620X.89B6.18975

Grechenig, W., et al. “The influence of lateral and anterior angulation of the proximal ulna on the treatment of a Monteggia fracture.” The Journal of Bone & Joint Surgery British Volume, vol. 89-B, no. 6, 2007, pp. 836-838., https://doi.org/10.1302/0301-620X.89B6.18975

Grechenig, W., Clement, H., Pichler, W., Tesch, N. P., & Windisch, G. (2007). The influence of lateral and anterior angulation of the proximal ulna on the treatment of a Monteggia fracture. The Journal of Bone & Joint Surgery British Volume, 89-B(6), 836-838. https://doi.org/10.1302/0301-620X.89B6.18975

Grechenig, W., Clement, H., Pichler, W., Tesch, N. P. and Windisch, G. (2007) “The influence of lateral and anterior angulation of the proximal ulna on the treatment of a Monteggia fracture.” The Journal of Bone & Joint Surgery British Volume, 89-B(6), pp. 836-838. Available at: https://doi.org/10.1302/0301-620X.89B6.18975

Grechenig, W., H. Clement, W. Pichler, N. P. Tesch, and G. Windisch. “The influence of lateral and anterior angulation of the proximal ulna on the treatment of a Monteggia fracture.” The Journal of Bone & Joint Surgery British Volume 89-B, no. 6 (2007): 836-838. https://doi.org/10.1302/0301-620X.89B6.18975

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Abstract

We have investigated the anatomy of the proximal part of the ulna to assess its influence on the use of plates in the management of fractures at this site. We examined 54 specimens from cadavers. The mean varus angulation in the proximal third was 17.5° (11° to 23°) and the mean anterior deviation 4.5° (1° to 14°). These variations must be considered when applying plates to the dorsal surface of the ulna for Monteggia-type fractures. A pre-operative radiograph of the contralateral elbow may also be of value.

Correspondence should be sent to Dr W. Pichler; e-mail: wolfgang.pichler@klinikum-graz.at

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