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Longitudinal instability of the forearm.

J Phadnis1, A C Watts2

  • 1Brighton and Sussex University Hospitals, Preston Road, Brighton, UK.

Der Orthopade
|September 16, 2016
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Summary

The Essex Lopresti lesion, a rare forearm injury, causes radius instability. Early diagnosis and treatment are crucial to prevent chronic pain and disability.

Keywords:
AcuteChronicEssex LoprestiInterosseous membrane reconstructionRadial head

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Area of Science:

  • Orthopedic Surgery
  • Traumatology
  • Anatomy

Background:

  • The Essex Lopresti lesion is a complex injury involving the radial head, interosseous membrane, and distal radio-ulnar joint.
  • Unrecognized injuries lead to chronic pain and functional disability, posing challenges for salvage treatment.

Purpose of the Study:

  • To review the pathoanatomy of longitudinal radius instability.
  • To provide recommendations for the recognition and treatment of acute and chronic forearm instability.
  • To describe a technique for interosseous membrane reconstruction.

Main Methods:

  • Literature review on forearm instability and the Essex Lopresti lesion.
  • Analysis of authors' clinical experience.
  • Description of a surgical technique for interosseous membrane reconstruction.

Main Results:

  • Detailed review of the pathoanatomy contributing to longitudinal radius instability.
  • Recommendations for clinical recognition of acute and chronic presentations.
  • Guidance on treatment strategies, including surgical reconstruction.

Conclusions:

  • Early identification and management of the Essex Lopresti lesion are essential for optimal patient outcomes.
  • Interosseous membrane reconstruction is a key component in restoring forearm stability.
  • This review provides a comprehensive guide for clinicians managing this rare injury.