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Reverse Essex-Lopresti and Other Forms of Longitudinal Forearm Instability
John J Heifner1, Deana M Mercer2
1Department of Orthopedic Surgery, Larkin Hospital, Miami, FL; and.
Journal of Orthopaedic Trauma
|August 16, 2024
Summary
Longitudinal forearm instability results from disruption of the interosseous ligament complex. Recognizing radiographic signs and understanding injury patterns, especially the central band, aids surgical treatment for better radioulnar alignment.
Area of Science:
- Orthopedic Surgery
- Anatomy
- Radiology
Background:
- Longitudinal forearm instability is a complex injury.
- The interosseous ligament complex plays a crucial role in forearm stability.
- Understanding injury patterns is key for effective treatment.
Purpose of the Study:
- To describe rare forms of longitudinal forearm instability.
- To highlight radiographic identifiers of disrupted structures.
- To emphasize the importance of the central band in treatment.
Main Methods:
- Review of rare cases of longitudinal forearm instability.
- Analysis of radiographic findings.
- Surgical case reviews.
Main Results:
- Longitudinal forearm instability is linked to interosseous ligament complex disruption.
- Specific radiographic features can indicate the extent of injury.
- The central band is foundational for radioulnar relationship.
Conclusions:
- Radiographic identifiers are crucial for surgical planning.
- Treatment should prioritize restoring the anatomic radioulnar relationship.
- Addressing the central band when disrupted is essential for all injury patterns.
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