Reconstruction of Essex-Lopresti Injury of the Forearm: Technical Note
Longitudinal instability of the forearm resulting from an Essex-Lopresti injury is a surgical challenge, and no technique has yet met universal success. A new technique is presented here consisting of reconstruction of the radial head, leveling of the distal radioulnar joint, reconstruction of the c...
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| Veröffentlicht in: | The Journal of hand surgery (American ed.) 2008, Vol.33 (1), p.124-130 |
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| container_title | The Journal of hand surgery (American ed.) |
| container_volume | 33 |
| creator | Chloros, George D., MD Wiesler, Ethan R., MD Stabile, Kathryne J., MD Papadonikolakis, Anastasios, MD Ruch, David S., MD Kuzma, Gary R., MD |
| description | Longitudinal instability of the forearm resulting from an Essex-Lopresti injury is a surgical challenge, and no technique has yet met universal success. A new technique is presented here consisting of reconstruction of the radial head, leveling of the distal radioulnar joint, reconstruction of the central band of the interosseous membrane by using a pronator teres rerouting technique, and finally repair of the triangular fibrocartilage complex. It is hoped that by addressing all of the contributing longitudinal stabilizing structures, the longitudinal instability of the forearm will be controlled. The technique is challenging and requires much surgical experience. |
| doi_str_mv | 10.1016/j.jhsa.2007.09.008 |
| format | Article |
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A new technique is presented here consisting of reconstruction of the radial head, leveling of the distal radioulnar joint, reconstruction of the central band of the interosseous membrane by using a pronator teres rerouting technique, and finally repair of the triangular fibrocartilage complex. It is hoped that by addressing all of the contributing longitudinal stabilizing structures, the longitudinal instability of the forearm will be controlled. The technique is challenging and requires much surgical experience.</description><identifier>ISSN: 0363-5023</identifier><identifier>EISSN: 1531-6564</identifier><identifier>DOI: 10.1016/j.jhsa.2007.09.008</identifier><identifier>PMID: 18261676</identifier><identifier>CODEN: JHSUDV</identifier><language>eng</language><publisher>New york, NY: Elsevier Inc</publisher><subject>Biological and medical sciences ; Central band ; distal radioulnar joint ; Essex-Lopresti ; Forearm ; Humans ; Injuries of the limb. Injuries of the spine ; interosseous membrane ; Joint Dislocations - complications ; Joint Dislocations - surgery ; longitudinal instability ; Medical sciences ; Orthopedic Procedures - methods ; Orthopedic surgery ; Orthopedics ; pronator teres ; radial head fracture ; Radius Fractures - complications ; Radius Fractures - surgery ; Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases ; Traumas. Diseases due to physical agents ; Triangular Fibrocartilage - injuries ; Triangular Fibrocartilage - surgery ; Wrist Joint</subject><ispartof>The Journal of hand surgery (American ed.), 2008, Vol.33 (1), p.124-130</ispartof><rights>American Society for Surgery of the Hand</rights><rights>2008 American Society for Surgery of the Hand</rights><rights>2008 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c439t-92e552cf8c533ba5a4c9f29a8855b2d4f129b9855be3cb2df5a7f7e9d7fc6ca93</citedby><cites>FETCH-LOGICAL-c439t-92e552cf8c533ba5a4c9f29a8855b2d4f129b9855be3cb2df5a7f7e9d7fc6ca93</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.sciencedirect.com/science/article/pii/S0363502307007824$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,776,780,3537,4010,27900,27901,27902,65306</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=20085459$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/18261676$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Chloros, George D., MD</creatorcontrib><creatorcontrib>Wiesler, Ethan R., MD</creatorcontrib><creatorcontrib>Stabile, Kathryne J., MD</creatorcontrib><creatorcontrib>Papadonikolakis, Anastasios, MD</creatorcontrib><creatorcontrib>Ruch, David S., MD</creatorcontrib><creatorcontrib>Kuzma, Gary R., MD</creatorcontrib><title>Reconstruction of Essex-Lopresti Injury of the Forearm: Technical Note</title><title>The Journal of hand surgery (American ed.)</title><addtitle>J Hand Surg Am</addtitle><description>Longitudinal instability of the forearm resulting from an Essex-Lopresti injury is a surgical challenge, and no technique has yet met universal success. A new technique is presented here consisting of reconstruction of the radial head, leveling of the distal radioulnar joint, reconstruction of the central band of the interosseous membrane by using a pronator teres rerouting technique, and finally repair of the triangular fibrocartilage complex. It is hoped that by addressing all of the contributing longitudinal stabilizing structures, the longitudinal instability of the forearm will be controlled. The technique is challenging and requires much surgical experience.</description><subject>Biological and medical sciences</subject><subject>Central band</subject><subject>distal radioulnar joint</subject><subject>Essex-Lopresti</subject><subject>Forearm</subject><subject>Humans</subject><subject>Injuries of the limb. Injuries of the spine</subject><subject>interosseous membrane</subject><subject>Joint Dislocations - complications</subject><subject>Joint Dislocations - surgery</subject><subject>longitudinal instability</subject><subject>Medical sciences</subject><subject>Orthopedic Procedures - methods</subject><subject>Orthopedic surgery</subject><subject>Orthopedics</subject><subject>pronator teres</subject><subject>radial head fracture</subject><subject>Radius Fractures - complications</subject><subject>Radius Fractures - surgery</subject><subject>Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases</subject><subject>Traumas. Diseases due to physical agents</subject><subject>Triangular Fibrocartilage - injuries</subject><subject>Triangular Fibrocartilage - surgery</subject><subject>Wrist Joint</subject><issn>0363-5023</issn><issn>1531-6564</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2008</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kV-L1DAUxYMo7uzqF_BB-qJvrfnTpI3Igiw7ujAo6PocMrc3TGqnGZNWnG-_qTMo-OBTSHLO4dzfJeQFoxWjTL3pq36XbMUpbSqqK0rbR2TFpGClkqp-TFZUKFFKysUFuUyppzS7hHxKLljLFVONWpH1F4QwpinOMPkwFsEVtynhr3ITDhHT5Iu7sZ_jcfmYdlisQ0Qb92-Le4Td6MEOxacw4TPyxNkh4fPzeUW-rW_vbz6Wm88f7m7eb0qohZ5KzVFKDq4FKcTWSluDdlzbtpVyy7vaMa63ermggPzgpG1cg7prHCiwWlyR16fcQww_5tzP7H0CHAY7YpiTaShvVSPqLOQnIcSQUkRnDtHvbTwaRs1Cz_RmoWcWeoZqk-ll08tz-rzdY_fXcsaVBa_OApvy6C7aEXz6o8tZrazlUvPdSYeZxU-P0STwOAJ2PiJMpgv-_z2u_7HD4H_D_o5HTH2Y45gpG2YSN9R8Xfa8rJk2OaTltXgA_2mifw</recordid><startdate>2008</startdate><enddate>2008</enddate><creator>Chloros, George D., MD</creator><creator>Wiesler, Ethan R., MD</creator><creator>Stabile, Kathryne J., MD</creator><creator>Papadonikolakis, Anastasios, MD</creator><creator>Ruch, David S., MD</creator><creator>Kuzma, Gary R., MD</creator><general>Elsevier Inc</general><general>Elsevier</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>2008</creationdate><title>Reconstruction of Essex-Lopresti Injury of the Forearm: Technical Note</title><author>Chloros, George D., MD ; Wiesler, Ethan R., MD ; Stabile, Kathryne J., MD ; Papadonikolakis, Anastasios, MD ; Ruch, David S., MD ; Kuzma, Gary R., MD</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c439t-92e552cf8c533ba5a4c9f29a8855b2d4f129b9855be3cb2df5a7f7e9d7fc6ca93</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2008</creationdate><topic>Biological and medical sciences</topic><topic>Central band</topic><topic>distal radioulnar joint</topic><topic>Essex-Lopresti</topic><topic>Forearm</topic><topic>Humans</topic><topic>Injuries of the limb. Injuries of the spine</topic><topic>interosseous membrane</topic><topic>Joint Dislocations - complications</topic><topic>Joint Dislocations - surgery</topic><topic>longitudinal instability</topic><topic>Medical sciences</topic><topic>Orthopedic Procedures - methods</topic><topic>Orthopedic surgery</topic><topic>Orthopedics</topic><topic>pronator teres</topic><topic>radial head fracture</topic><topic>Radius Fractures - complications</topic><topic>Radius Fractures - surgery</topic><topic>Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases</topic><topic>Traumas. Diseases due to physical agents</topic><topic>Triangular Fibrocartilage - injuries</topic><topic>Triangular Fibrocartilage - surgery</topic><topic>Wrist Joint</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Chloros, George D., MD</creatorcontrib><creatorcontrib>Wiesler, Ethan R., MD</creatorcontrib><creatorcontrib>Stabile, Kathryne J., MD</creatorcontrib><creatorcontrib>Papadonikolakis, Anastasios, MD</creatorcontrib><creatorcontrib>Ruch, David S., MD</creatorcontrib><creatorcontrib>Kuzma, Gary R., MD</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>The Journal of hand surgery (American ed.)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Chloros, George D., MD</au><au>Wiesler, Ethan R., MD</au><au>Stabile, Kathryne J., MD</au><au>Papadonikolakis, Anastasios, MD</au><au>Ruch, David S., MD</au><au>Kuzma, Gary R., MD</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Reconstruction of Essex-Lopresti Injury of the Forearm: Technical Note</atitle><jtitle>The Journal of hand surgery (American ed.)</jtitle><addtitle>J Hand Surg Am</addtitle><date>2008</date><risdate>2008</risdate><volume>33</volume><issue>1</issue><spage>124</spage><epage>130</epage><pages>124-130</pages><issn>0363-5023</issn><eissn>1531-6564</eissn><coden>JHSUDV</coden><abstract>Longitudinal instability of the forearm resulting from an Essex-Lopresti injury is a surgical challenge, and no technique has yet met universal success. A new technique is presented here consisting of reconstruction of the radial head, leveling of the distal radioulnar joint, reconstruction of the central band of the interosseous membrane by using a pronator teres rerouting technique, and finally repair of the triangular fibrocartilage complex. It is hoped that by addressing all of the contributing longitudinal stabilizing structures, the longitudinal instability of the forearm will be controlled. The technique is challenging and requires much surgical experience.</abstract><cop>New york, NY</cop><pub>Elsevier Inc</pub><pmid>18261676</pmid><doi>10.1016/j.jhsa.2007.09.008</doi><tpages>7</tpages></addata></record> |
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| subjects | Biological and medical sciences Central band distal radioulnar joint Essex-Lopresti Forearm Humans Injuries of the limb. Injuries of the spine interosseous membrane Joint Dislocations - complications Joint Dislocations - surgery longitudinal instability Medical sciences Orthopedic Procedures - methods Orthopedic surgery Orthopedics pronator teres radial head fracture Radius Fractures - complications Radius Fractures - surgery Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases Traumas. Diseases due to physical agents Triangular Fibrocartilage - injuries Triangular Fibrocartilage - surgery Wrist Joint |
| title | Reconstruction of Essex-Lopresti Injury of the Forearm: Technical Note |
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