MSK: Monteggia's Fracture: Free MSRA Podcast

🎧 MSRA Podcast: Monteggia’s Fracture – Know the Combo🦴 MSK Must-Know | High-Yield for the MSRAIn this high-yield deep dive, we explore Monteggia’s fracture – a specific and important orthopaedic injury involving a proximal ulnar fracture and radial head dislocation. Whether you're revising for the MSRA or brushing up on forearm trauma, this episode has you covered.📌 What Is Monteggia’s Fracture?This fracture-dislocation combo includes:• A fracture of the ulna (usually proximal third)• A dislocated radial head at the elbow🛑 The two must always occur together for the diagnosis.📊 Classification – Bado Types I–IVMnemonic: "All People Love Lateral Angles"• Type I – Anterior dislocation (most common)• Type II – Posterior/posterolateral dislocation• Type III – Lateral/anterolateral dislocation• Type IV – Both radius and ulna fractured + anterior dislocation⚠️ Mechanism & Risk Factors• FOOSH with forearm pronated• Direct trauma to forearm• Common in high-impact sports (rugby, football)• More likely in activities with fall risk or repetitive forearm impact🧠 Pathophysiology & Presentation• Ulna fracture destabilises forearm structure• Radial head dislocation disrupts elbow articulation🔍 Clinical clues:• Pain + swelling in forearm/elbow• Limited elbow ROM• Deformity• Palpable dislocated radial head (often anterior/lateral)🧪 Diagnosis🩻 X-ray is the gold standard→ AP + Lateral views→ Include both elbow and wrist joints📸 CT or MRI if:• Complex fracture• Ligament involvement suspected🛠️ Management (UK Guidelines)👨‍⚕️ Adults:• ORIF (Open Reduction Internal Fixation) of the ulna with plates/screws• Manual reduction of the radial head• Post-op immobilisation + physiotherapy👶 Children:• Often managed with closed reduction + casting• Surgery reserved for unstable cases⚠️ Complications• Malunion / Non-union of ulna• Persistent radial head instability• Posterior interosseous nerve injury• Chronic pain / stiffness• Post-traumatic arthritis🎯 Top Mnemonics• "UR OK" → Ulna fracture + Radial head dislocation• "All People Love Lateral Angles" → Bado classification• Visualise → FOOSH with palm down (pronation)📚 MSRA Revision Resources📄 Revision Notes:https://www.passthemsra.com/topic/monteggias-fracture-revision-notes/🧠 Flashcards:https://www.passthemsra.com/topic/monteggias-fracture-flashcards/📖 Accordion Q&A Notes:https://www.passthemsra.com/topic/monteggias-fracture-accordion-qa-notes/🧪 Rapid Quiz:https://www.passthemsra.com/topic/monteggias-fracture-rapid-quiz/🧠 MSRA Quiz Bank:https://www.passthemsra.com/quizzes/monteggias-fracture/📘 Full MSK Course:https://www.passthemsra.com/courses/msk-for-the-msra/🩺 MSRA Learning Point:Always think of Monteggia’s as a paired injury – if you see an ulna fracture, check for radial head dislocation (and vice versa). A missed radial dislocation = missed Monteggia’s!#MSRA #MonteggiasFracture #MSRARevision #PassTheMSRA #MSK #MSRAFlashcards #MSRAQuestionBank #MSRAQandANotes #MSRAQuiz #ForearmFracture #RadialHeadDislocation #FOOSHInjury #BadoClassification