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. 2021 Feb 12;24:65–76. doi: 10.1016/j.jor.2021.02.009

Table 1.

Classification systems for Monteggia fracture-dislocation.

Bado Classification for Monteggia injuries3 Letts Classification for paediatric Monteggia injuries1
Type Description Type Description
Type I Anterior radial head dislocation and diaphyseal ulna fracture with anterior angulation Type A Anterior radial head dislocation and apex anterior ulnar bending (plastic deformation)
Type II Posterior or posterolateral radial head dislocation and diaphyseal ulna fracture with posterior angulation Type B Anterior radial head dislocation and apex anterior greenstick ulnar fracture
Type III Lateral or anterolateral radial head dislocation and proximal metaphyseal ulna fracture Type C Anterior radial head dislocation and complete apex anterior ulnar fracture
Type IV Anterior radial head dislocation, proximal 1/3 diaphyseal fracture of both radius and ulna Type D Posterior radial head dislocation and apex posterior ulnar fracture
Type E Lateral radial head dislocation and greenstick fracture of the ulna