Interosseous membrane reconstruction for the Essex-Lopresti injury.
The Essex-Lopresti lesion, or radioulnar longitudinal dissociation, results from an axial load to the forearm with injury to the radial head and disruption of the interosseous membrane and the distal radioulnar joint. Unfortunately, an appreciation of the true extent of injury is not always realized in the acute setting, and patients present later with persistent or new reports of forearm discomfort and wrist and elbow pain. Reconstruction of the central band of the interosseous membrane with a bone-patellar tendon-bone graft is useful in the chronic setting and is described.
Adams
Julie E
JE
Department of Orthopedic Surgery, University of Minnesota, Minneapolis, MN 55454, USA. adams854@umn.edu
Culp
Randall W
RW
Osterman
A Lee
AL
D050376:Bone-Patellar Tendon-Bone Grafting; D017885:Collateral Ligaments / Q000293:injuries / Q000601:surgery*; D005593:Fracture Fixation, Internal; D006801:Humans; D004204:Joint Dislocations / Q000601:surgery*; D019637:Orthopedic Procedures / Q000379:methods*; D011885:Radius Fractures / Q000601:surgery*; D051478:Triangular Fibrocartilage / Q000293:injuries / Q000601:surgery*; D014954:Wrist Injuries / Q000601:surgery*