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Image Based Question-66492

Question

Which among the following are true about the fracture shown in the photograph below ?

A. Upper ulnar fracture & dislocated radial head.

B. Upper radial fracture & dislocated ulna.

C. Lower radial fracture & dislocated ulna.

D. Lower ulnar fracture & dislocated radius.

 

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Correct Answer » A

Explanation

The fracture shown in the photograph above represents Monteggia fracture.

Monteggia fracture-dislocations are classified by the Bado system

  • Bado type I injuries are characterized by a proximal ulnar fracture with anterior dislocation of the radial head. This is due to a forceful pronation injury of the forearm and is the most common type.
  • Bado type II injuries are “reversed” Monteggia fracture-dislocation injuries.
  • Here, there is posterior angulation of the ulnar fracture site and posterior dislocation of the radial head. Bado type III and IV are rare injuries.
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