He proposed alternate methods for dislocation reduction in the absence of a ‘lever’ (the broken bone) to assist in the dislocation reductionġ854 – Malgaigne reported on 5 cases of fracture of the shaft of the ulna with dislocation of the head of the radius, and provided more sage advice to young surgeons. Cooper 1824: 444ġ853 – Joseph François Malgaigne (1806-1865) published on the complications of upper and lower limb fractures with associated dislocations. He has an useful motion of the arm, but neither the flexion nor the extension is complete. The olecranon was broken, and the radius dislocated upwards and outwards, above the external condyle and when the arm is bent, the head of the radius passes the os humeri. Freeman, Surgeon, of Spring-gardens, brought to my house a gentleman of the name of Whaley, aged twenty-live years, whose poney having run away with him, when he was twelve years of age, he had struck his elbow against a tree whilst his arm was bent and advanced before his head. However, his management of the injury by closed reduction and splintage was suboptimal and resulted in recurrence of the radial head subluxationġ824 – Astley Paston Cooper (1768 – 1841) described anterior, posterior, and lateral dislocations of the radial head with and without fracture of the ulna in his treatise on dislocations, and on fractures of the joints. Monteggia appreciated that the ulna fracture was linked to the radial head dislocation and that both needed to be addressed simultaneously. …but I can recall with displeasure the case of a girl, who following a fall, it seemed to me, reported with a fracture of the ulna at its upper third… the fact is that at the end of one month, the arm smashed and the swelling dissipated, which in an isolated luxation of the radius would be little, I found that by extending the forearm it jumped out to make a strong and deformed prominence… demonstrating in visible and manifest manner, that this was a true anterior dislocation
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