Classification Description Notes
Type 1 Apex anterior angulation and anterior radial head dislocation  More common in children
Type 2 Apex posterior angulation with posterior radial head dislocation  More common in adults
Type 3 Lateral radial head dislocation
Type 4 Fractures of both radius and ulna with radial head dislocation

 

References:

Sheehan, S. E., et al. (2013). “Traumatic Elbow Injuries: What the Orthopedic Surgeon Wants to Know.” Radiographics 33(3): 869-888.

Bado JL. (1967) “The Monteggia lesion.” Clin Orthop Relat Res 50:71–86.