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.
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.
Gong
Hyun Sik
HS
Department of Orthopaedics, Hand and Upper Extremity Service, Seoul National University Bundang Hospital, Seongnam, Korea. hsgong@snu.ac.kr
Chung
Moon Sang
MS
Oh
Joo Han
JH
Lee
Young Ho
YH
Kim
Sae Hoon
SH
Baek
Goo Hyun
GH
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