title: Failure of the interosseous membrane to heal with immobilization, pinning of the distal radioulnar joint, and bipolar radial head replacement in a case of Essex-Lopresti injury: case report.
abstract: The authors report a case of a patient with complex radial head and ulnar shaft fractures with an associated tear of the interosseous membrane, which failed to heal despite open reduction internal fixation of the ulna, a bipolar radial head replacement, and cross pinning of the distal radioulnar joint. This case demonstrates that failure of the interosseous membrane can occur even in a properly replaced bipolar radial head with adequate immobilization of the forearm and pinning of the distal radioulnar joint.
authors.affiliation: Department of Orthopaedics, Hand and Upper Extremity Service, Seoul National University Bundang Hospital, Seongnam, Korea. hsgong@snu.ac.kr
authors.forename: Hyun Sik
authors.initials: HS
authors.lastname: Gong
authors.forename: Moon Sang
authors.initials: MS
authors.lastname: Chung
authors.forename: Joo Han
authors.initials: JH
authors.lastname: Oh
authors.forename: Young Ho
authors.initials: YH
authors.lastname: Lee
authors.forename: Sae Hoon
authors.initials: SH
authors.lastname: Kim
authors.forename: Goo Hyun
authors.initials: GH
authors.lastname: Baek
mesh_terms: D004551:Elbow Joint / Q000000981:diagnostic imaging; D005593:Fracture Fixation, Internal; D018460:Fractures, Comminuted / Q000601:surgery*; D006801:Humans; D007103:Immobilization; D007593:Joint Instability / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D019637:Orthopedic Procedures; D011885:Radius Fractures / Q000000981:diagnostic imaging / Q000601:surgery*; D014057:Tomography, X-Ray Computed; D017211:Treatment Failure; D014458:Ulna Fractures / Q000000981:diagnostic imaging / Q000601:surgery*; D014955:Wrist Joint / Q000000981:diagnostic imaging; D000092464:Elbow Injuries