$monteggia fracture icd 9$

Monteggia Fracture ICD-9: Understanding the Diagnosis and Treatment Options

$monteggia fracture icd 9$

The Monteggia fracture is a rare and complex injury that affects approximately 1% of all pediatric upper extremity fractures. It involves a fracture of the ulna bone accompanied by radial head dislocation, which can lead to significant functional impairment and degenerative arthritis if left untreated or treated improperly.

The main objective of this study was to retrospectively evaluate the clinical and radiological outcomes of acute Monteggia fracture (AMF) and chronic Monteggia fracture (CMF) in children treated with closed or open reduction and external fixation (EF). The secondary aim was to assess upper extremity function using the Quick DASH questionnaire.

There are various surgical techniques available for treating AMF and CMF, depending on the timing of surgery. In acute cases, closed or open reduction and ulnar fixation by casting, elastic stable intramedullary nailing or screw and plate are the treatment of choice. However, if surgical treatment is delayed, outcome is generally poorer compared to prompt treatment.

The main goals of treating both AMF and CMF are to achieve stable reduction of radial head dislocation and restore elbow movement. If left untreated or treated improperly, these fractures can lead to ulnar malunion and persistent radial head dislocation, resulting in loss of function, pain, degenerative arthritis, and late neuropathy.

$monteggia fracture icd 9$

$monteggia fracture icd 9$

To date, there is limited published research on the surgical management of AMF and CMF in children, with no uniform evaluation scale used to assess functional outcomes. The Quick DASH questionnaire has been successfully used to evaluate functional outcomes after surgical treatment of various upper extremity fractures in children, allowing for homogeneous evaluation and comparison of pediatric patient populations.

In conclusion, Monteggia fracture ICD-9 is a complex injury that requires prompt and proper treatment to achieve optimal clinical and radiological outcomes. Further research is needed to develop effective treatment strategies and evaluate functional outcomes using uniform evaluation scales such as the Quick DASH questionnaire.

$monteggia fracture icd 9$

Monteggia fracture icd 9