In a previous paper [Schleif and Delos, Phys. Rev. A 76, 013404 (2007)] we described the spectrum of hydrogen atoms in near-perpendicular electric and magnetic fields. We displayed a number of previously unrecognized structures in the spectrum, most of which are connected with a classical phenomenon called “nontrivial monodromy of action and angle variables in a Hamiltonian system,” or simply “monodromy.” In that paper, we presented only the results, giving predictions of what to look for in various ranges of electric and magnetic fields. Here we present the underlying theory. Starting from Kepler action and angle variables, we give a derivation of a classical Hamiltonian to second order in perturbation theory; the derivation is different f...