Monteggia골절의 임상적 고찰 = Clinical Study on Monteggia Fracture

국문 초록 (Abstract)

1.총 8예중 남자 6례, 여자 2례이었다.
2.손상의 원인은 낙상이 4례로 가장 많았다.
3.Bado분류에 의한 빈도는 Ⅰ형이 4례(50%), Ⅱ형 1예(12.5%), Ⅲ형 3예(37.5%)이었다.
4.척골골절의 위치는 상 1/3이상 부위가 7예이었다.
5.요골두 탈구 방향은 전방이 3예로 가장 많았다.
6.치료는 소아는 2예 모두 비수술적 방법으로 하였으며 성인 6예중 2예는 도수정복하고 4예는 골골절은 압박금속판을 사용하여 내고정하였으며 골두 탈구는 모두 도수정복 하였다.
7.결과는 Bruce 등에 의한 판정으로 excellent 3예, good 2예, fair 1예, poor 2예이었다.

다국어 초록 (Multilingual Abstract)

In 1814, Giovanni Battista Monteggia first described two cases of fracture of proximal third of ulna with a dislocation of radial head, and this combined injury is now known as the Monteggia fracture.
Despite its rarity, the importance of early recognition of dislocated radial head and
correct treatment has been emphasized.
Eight cases of Monteggia fracture were studied from March, 1984 to June, 1987.
The results are as follows
1.Male patients were six and female were two.
2.The frequent cause of injury was fall down in four cases.
3.Bado typeⅠaccounted for 50%, typeⅡ for 12.5% and typeⅢ for 37.5%.
4.The level of ulna fracture was above upper one third of ulna in seven.
5.The common direction of dislocated radial head was anterior.
6.Two children and two adults were managed by closed reduction.
Four ulna fractures in adult were treated by open reduction and internal fixation using
a semitubular plate.
7.The results(by Bruce et al. criteria)were 3 excellent, 2 good, 1 fair and 2 poor.