Riassunto analitico
Monteggia fracture-dislocation in an uncommon lesion, representing less than 5% of fractures of ulna and around 0,7% of all elbow injuries. It is associated primarily in adults with a considerable number of short and long-term complications and variable functional results, sometimes seriously disabling. A correct knowledge about the etiology, diagnosis and treatment of this disease is therefore very important to offer the patient the best functional outcome possible. In this work we evaluated the long-term functional outcomes of a group of 19 patients treated at the orthopedic clinic at the University Hospital of Modena in a 10-year period, from 2004 to 2014. The series was also divided into two control groups, one for pediatric patients and one for adults. For this evaluation, we used two score validated internationally: the Mayo Elbow Performance Score (MEPS) and the Quick DASH score. The purpose of this work was to study biomechanics, mechanisms of injury, early diagnosis and treatment of this disease by providing a complete description of Monteggia lesions, and also to compare all the data we collected in our series with the results described in the literature, with particular reference to the latest international publications.
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