Orthonotes
Orthonotes
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v3.0 Fusion
v3.0 Fusion
trauma topic hub

Bado Classification (Paediatric) — Monteggia & Equivalents

Type I: Anterior radial head dislocation with anterior angulated ulnar fracture — most common in children. Type II: Posterior/posterolateral dislocation; Type III: Lateral/anterior-lateral dislocation; Type IV: Both-bone fractures + radial head dislocation. Equivalents: Variants with plastic deformation or isolated ulna fracture + radial head dislocation; must realign ulna to reduce radius.

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Type I: Anterior radial head dislocation with anterior angulated ulnar fracture — most common in children. Type II: Posterior/posterolateral dislocation; Type III: Lateral/anterior-lateral dislocation; Type IV: Both-bone fractures + radial head dislocation. Equivalents: Variants with plastic deformation or isolated ulna fracture + radial head dislocation; must realign ulna to reduce radius.
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Question 1

Which type of Monteggia fracture-dislocation is characterized by an anterior dislocation of the radial head and anterior angulation of the ulnar fracture?

Question 2

What is the primary mechanism of injury for a Type I Monteggia fracture-dislocation?

Question 3

In which type of Monteggia fracture-dislocation is the radial head dislocated posteriorly?

Question 4

Which type of Monteggia fracture-dislocation is most commonly associated with lateral dislocation of the radial head?

Question 5

What is the critical diagnostic rule for identifying a fracture-dislocation pattern in the forearm?

Question 6

In a Type IV Monteggia fracture-dislocation, what is the notable feature of the fractures?

Question 7

What is the typical age range for peak incidence of Monteggia injuries in children?

Question 8

What type of fracture is commonly associated with a Monteggia equivalent?

Question 9

Which type of Monteggia fracture-dislocation is least common in children?

Question 10

What is the consequence of a missed radial head dislocation in children with Monteggia injuries?