Central band reconstruction for the treatment of Essex-Lopresti injury : A novel technique using the brachioradialis tendon

Longitudinal stability of the forearm is mainly provided by three structures: the radiocapitellar contact, which acts as the primary stabilizer, the central band of the interosseous ligamentous complex (IOLC) and the intact triangular fibrocartilage complex (TFCC). In an Essex-Lopresti lesion the fo...

Ausführliche Beschreibung

Gespeichert in:
Bibliographische Detailangaben
Veröffentlicht in:Acta orthopaedica belgica 2019-03, Vol.85 (1), p.63-71
Hauptverfasser: Apergis, Emmanuel P, Masouros, Panagiotis T, Nikolaou, Vasileios S, Arealis, George, Babis, George C
Format: Artikel
Sprache:eng
Online-Zugang:Volltext
Tags: Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
container_end_page 71
container_issue 1
container_start_page 63
container_title Acta orthopaedica belgica
container_volume 85
creator Apergis, Emmanuel P
Masouros, Panagiotis T
Nikolaou, Vasileios S
Arealis, George
Babis, George C
description Longitudinal stability of the forearm is mainly provided by three structures: the radiocapitellar contact, which acts as the primary stabilizer, the central band of the interosseous ligamentous complex (IOLC) and the intact triangular fibrocartilage complex (TFCC). In an Essex-Lopresti lesion the forearm becomes fully destabilized, since all of these three components are injured. Fixation or replacement of the radial head with a metallic prosthesis along with repair of the TFCC and stabilization of the distal radioulnar joint (DRUJ) are well-established treatment goals. However the reconstruction of the central band of the IOLC remains to some extent controversial. The authors believe that the reconstruction of the central band, particularly in active patients, is crucial in order to restore normal load distribution through the forearm, thus ensuring both transverse and longitudinal stability. In this article, we present a case with an Essex-Lopresti lesion, which was effectively treated acutely with restoration of all three components of the injury (radial head prosthesis, DRUJ repair and reconstruction of the central band of the IOLC). A novel technique by rerouting the brachioradialis tendon is described in detail.
format Article
fullrecord <record><control><sourceid>proquest_pubme</sourceid><recordid>TN_cdi_proquest_miscellaneous_2216294780</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2216294780</sourcerecordid><originalsourceid>FETCH-LOGICAL-p211t-904b2e8be4243aab047a222310c1217300b44e512930e4f576b46d8349c704743</originalsourceid><addsrcrecordid>eNo10DFPwzAQBWAPIFoKfwF5ZIlkn12nYauqApUqscAc2c6FukrsYDuIij9PBGV6y6enu3dB5owxXiipYEauUzoypiqu-BWZCc5AAONz8r1Bn6PuqNG-oRFt8CnH0WYXPG1DpPmANEfUuZ8gDS3dpoRfxT4MEVN21PnjGE_0ga6pD5_Y0Yz24N3HiHRMzr__Fpio7cGFqBunO5cm45vgb8hlq7uEt-dckLfH7evmudi_PO02630xAOe5qJg0gCuDEqTQ2jBZagCYfrAceCkYM1LikkMlGMp2WSojVbMSsrLlZKVYkPu_3iGG6a6U694li12nPYYx1QBcQSXLFZvo3ZmOpsemHqLrdTzV_4OJH9giZm8</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2216294780</pqid></control><display><type>article</type><title>Central band reconstruction for the treatment of Essex-Lopresti injury : A novel technique using the brachioradialis tendon</title><source>Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals</source><creator>Apergis, Emmanuel P ; Masouros, Panagiotis T ; Nikolaou, Vasileios S ; Arealis, George ; Babis, George C</creator><creatorcontrib>Apergis, Emmanuel P ; Masouros, Panagiotis T ; Nikolaou, Vasileios S ; Arealis, George ; Babis, George C</creatorcontrib><description>Longitudinal stability of the forearm is mainly provided by three structures: the radiocapitellar contact, which acts as the primary stabilizer, the central band of the interosseous ligamentous complex (IOLC) and the intact triangular fibrocartilage complex (TFCC). In an Essex-Lopresti lesion the forearm becomes fully destabilized, since all of these three components are injured. Fixation or replacement of the radial head with a metallic prosthesis along with repair of the TFCC and stabilization of the distal radioulnar joint (DRUJ) are well-established treatment goals. However the reconstruction of the central band of the IOLC remains to some extent controversial. The authors believe that the reconstruction of the central band, particularly in active patients, is crucial in order to restore normal load distribution through the forearm, thus ensuring both transverse and longitudinal stability. In this article, we present a case with an Essex-Lopresti lesion, which was effectively treated acutely with restoration of all three components of the injury (radial head prosthesis, DRUJ repair and reconstruction of the central band of the IOLC). A novel technique by rerouting the brachioradialis tendon is described in detail.</description><identifier>ISSN: 0001-6462</identifier><identifier>PMID: 31023201</identifier><language>eng</language><publisher>Belgium</publisher><ispartof>Acta orthopaedica belgica, 2019-03, Vol.85 (1), p.63-71</ispartof><woscitedreferencessubscribed>false</woscitedreferencessubscribed></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/31023201$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Apergis, Emmanuel P</creatorcontrib><creatorcontrib>Masouros, Panagiotis T</creatorcontrib><creatorcontrib>Nikolaou, Vasileios S</creatorcontrib><creatorcontrib>Arealis, George</creatorcontrib><creatorcontrib>Babis, George C</creatorcontrib><title>Central band reconstruction for the treatment of Essex-Lopresti injury : A novel technique using the brachioradialis tendon</title><title>Acta orthopaedica belgica</title><addtitle>Acta Orthop Belg</addtitle><description>Longitudinal stability of the forearm is mainly provided by three structures: the radiocapitellar contact, which acts as the primary stabilizer, the central band of the interosseous ligamentous complex (IOLC) and the intact triangular fibrocartilage complex (TFCC). In an Essex-Lopresti lesion the forearm becomes fully destabilized, since all of these three components are injured. Fixation or replacement of the radial head with a metallic prosthesis along with repair of the TFCC and stabilization of the distal radioulnar joint (DRUJ) are well-established treatment goals. However the reconstruction of the central band of the IOLC remains to some extent controversial. The authors believe that the reconstruction of the central band, particularly in active patients, is crucial in order to restore normal load distribution through the forearm, thus ensuring both transverse and longitudinal stability. In this article, we present a case with an Essex-Lopresti lesion, which was effectively treated acutely with restoration of all three components of the injury (radial head prosthesis, DRUJ repair and reconstruction of the central band of the IOLC). A novel technique by rerouting the brachioradialis tendon is described in detail.</description><issn>0001-6462</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2019</creationdate><recordtype>article</recordtype><recordid>eNo10DFPwzAQBWAPIFoKfwF5ZIlkn12nYauqApUqscAc2c6FukrsYDuIij9PBGV6y6enu3dB5owxXiipYEauUzoypiqu-BWZCc5AAONz8r1Bn6PuqNG-oRFt8CnH0WYXPG1DpPmANEfUuZ8gDS3dpoRfxT4MEVN21PnjGE_0ga6pD5_Y0Yz24N3HiHRMzr__Fpio7cGFqBunO5cm45vgb8hlq7uEt-dckLfH7evmudi_PO02630xAOe5qJg0gCuDEqTQ2jBZagCYfrAceCkYM1LikkMlGMp2WSojVbMSsrLlZKVYkPu_3iGG6a6U694li12nPYYx1QBcQSXLFZvo3ZmOpsemHqLrdTzV_4OJH9giZm8</recordid><startdate>201903</startdate><enddate>201903</enddate><creator>Apergis, Emmanuel P</creator><creator>Masouros, Panagiotis T</creator><creator>Nikolaou, Vasileios S</creator><creator>Arealis, George</creator><creator>Babis, George C</creator><scope>NPM</scope><scope>7X8</scope></search><sort><creationdate>201903</creationdate><title>Central band reconstruction for the treatment of Essex-Lopresti injury : A novel technique using the brachioradialis tendon</title><author>Apergis, Emmanuel P ; Masouros, Panagiotis T ; Nikolaou, Vasileios S ; Arealis, George ; Babis, George C</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-p211t-904b2e8be4243aab047a222310c1217300b44e512930e4f576b46d8349c704743</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2019</creationdate><toplevel>online_resources</toplevel><creatorcontrib>Apergis, Emmanuel P</creatorcontrib><creatorcontrib>Masouros, Panagiotis T</creatorcontrib><creatorcontrib>Nikolaou, Vasileios S</creatorcontrib><creatorcontrib>Arealis, George</creatorcontrib><creatorcontrib>Babis, George C</creatorcontrib><collection>PubMed</collection><collection>MEDLINE - Academic</collection><jtitle>Acta orthopaedica belgica</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Apergis, Emmanuel P</au><au>Masouros, Panagiotis T</au><au>Nikolaou, Vasileios S</au><au>Arealis, George</au><au>Babis, George C</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Central band reconstruction for the treatment of Essex-Lopresti injury : A novel technique using the brachioradialis tendon</atitle><jtitle>Acta orthopaedica belgica</jtitle><addtitle>Acta Orthop Belg</addtitle><date>2019-03</date><risdate>2019</risdate><volume>85</volume><issue>1</issue><spage>63</spage><epage>71</epage><pages>63-71</pages><issn>0001-6462</issn><abstract>Longitudinal stability of the forearm is mainly provided by three structures: the radiocapitellar contact, which acts as the primary stabilizer, the central band of the interosseous ligamentous complex (IOLC) and the intact triangular fibrocartilage complex (TFCC). In an Essex-Lopresti lesion the forearm becomes fully destabilized, since all of these three components are injured. Fixation or replacement of the radial head with a metallic prosthesis along with repair of the TFCC and stabilization of the distal radioulnar joint (DRUJ) are well-established treatment goals. However the reconstruction of the central band of the IOLC remains to some extent controversial. The authors believe that the reconstruction of the central band, particularly in active patients, is crucial in order to restore normal load distribution through the forearm, thus ensuring both transverse and longitudinal stability. In this article, we present a case with an Essex-Lopresti lesion, which was effectively treated acutely with restoration of all three components of the injury (radial head prosthesis, DRUJ repair and reconstruction of the central band of the IOLC). A novel technique by rerouting the brachioradialis tendon is described in detail.</abstract><cop>Belgium</cop><pmid>31023201</pmid><tpages>9</tpages></addata></record>
fulltext fulltext
identifier ISSN: 0001-6462
ispartof Acta orthopaedica belgica, 2019-03, Vol.85 (1), p.63-71
issn 0001-6462
language eng
recordid cdi_proquest_miscellaneous_2216294780
source Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals
title Central band reconstruction for the treatment of Essex-Lopresti injury : A novel technique using the brachioradialis tendon
url https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-01-30T00%3A41%3A47IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_pubme&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Central%20band%20reconstruction%20for%20the%20treatment%20of%20Essex-Lopresti%20injury%20:%20A%20novel%20technique%20using%20the%20brachioradialis%20tendon&rft.jtitle=Acta%20orthopaedica%20belgica&rft.au=Apergis,%20Emmanuel%20P&rft.date=2019-03&rft.volume=85&rft.issue=1&rft.spage=63&rft.epage=71&rft.pages=63-71&rft.issn=0001-6462&rft_id=info:doi/&rft_dat=%3Cproquest_pubme%3E2216294780%3C/proquest_pubme%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=2216294780&rft_id=info:pmid/31023201&rfr_iscdi=true