Monteggia lesions in children and adults: an analysis of etiology and

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long-term results of treatment. Ovesen-O. Brok-K-E. Arreskov-J. Bellstrom-T. Department of Orthopedics, Odense University Hospital, Denmark. Orthopedics. 1990 May. 13(5). P 529-34. The mechanism of trauma and late results of treatment were analyzed in 17 pediatric [m and 16 adult Monteggia lesions. Pediatric [m Monteggia lesions were almost entirely found to be the result of low energy trauma leading to a closed, noncomminuted fracture [m in an otherwise noninjured child. In the adult cases, however, these lesions were most often found to be the result of high energy trauma leading to open and comminuted fractures. Furthermore, 62% of the adults had other, and often more serious, injuries. Results at follow up (average 7 years) were excellent in the pediatric [m cases, whereas all adults had sequelae, especially regarding range of motion. The results of this study clearly suggest that a Monteggia lesion represents a more severe injury in the adult.