Beruflich Dokumente
Kultur Dokumente
WE USUALLY THINK AT
THE FOREARM AS A FRAME
Transversally
Convergent
Divergent
Longitudinally
Anderson LD, Sisk D, Tooms RE, Park WI 3rd. Compression-plate fixation in acute diaphyseal fractures of the
radius and ulna. J Bone Joint Surg 1975;57A:287297.
MONTEGGIAS FRACTURES
AND FOREARM INSTABILITY
Bado JL. The Monteggia lesion. Clin Orthop Relat Res 1967;50:7186.
George AV, Lawton JN. Management of Complications of Forearm Fractures. Hand Clin 2015; 31: 217233.
Ring D, Jupiter JB, Simpson NS. Monteggia fractures in adults. J Bone Joint Surg Am 1998;80(12):173344.
FOREARM INSTABILITY ?
Physiological dorsal
angulation of 5,7 (0-14) at
47 mm (34-78) distal to the
tip of olecranon
a 5 malreduction leads to
radial head subluxation.
Rouleau DM, Sandman E, Canet F, et al. Radial head translation measurement in healthy individuals: the
radiocapitellar ratio. J Shoulder Elb Surg 2012;21:5749.
Jupiter JB, Leibovic SJ, Ribbans W, Wilk RM. The posterior Monteggia lesion. J Orthop Trauma 1991;5(4):395402.
Parisi TJ, Jupiter JB. Fractures of the proximal radius and ulna: Monteggia injuries. Shoulder and Elbow Trauma and its
Complications, 2016, Pages 193-222
Only in that paper did I found one DRUJ instability that could
have been part of a forearm instability
Ring D, Rhim R, Carpenter C, Jupiter J. Isolated radial shaft fractures are more common than Galeazzi
fractures. J Hand Surg. 2006; 31A:1721.
Rettig M, Raskin K. Galeazzi fracture-dislocation: a new treatment-oriented classification. J Hand Surg 2001;26A:
228235.
Korompilias AV, Lykissas MG, Kostas-Agnantis IP, Beris AE, Soucacos PN. Distal Radioulnar Joint Instability
(Galeazzi Type Injury) After Internal Fixation in Relation to the Radius Fracture Pattern. J Hand Surg 2011;36A:
847852
Tsismenakis T, Tornetta P III. Galeazzi fractures: Is DRUJ instability predicted by current guidelines? Injury 2016; 47(7):
14721477
Takemoto R, Sugi M, Immerman I, et al. Ulnar variance as a predictor of persistent instability following Galeazzi
fracture-dislocations. J Orthop Trauma 2014;15(1):416.
GALEAZZIS FRACTURES
Stable, OK,
No immobilization is
required
van Duijvenbode,DC et al.. Long-term Outcome of Isolated Diaphyseal Radius Fractures With and
Without Dislocation of the Distal Radioulnar Joint. J Hand Surg 2012;37A:523527.
GALEAZZIS FRACTURES
Cheng SL, Axelrod TS. Management of complex dislocations of the distal radioulnar joint. Clin Orthop
Relat Res 1997;341:18391
or K-Wires for
4-6 weeks
ESSEX-LOPRESTI INJURIES
EssexLopresti (1951)
in air-trooper of PRUJ
and DRUJ dislocation
w/wo radial head
fracture
LONGITUDINAL
INSTABILITY IS NOT ONLY
DUE TO IOM DISRUPTION
Smith AM, et al. Radius pull test: predictor of longitudinal forearm instability. J Bone Joint Surg Am 2002;84-A(11):19706.
Soubeyrand M, et al. The intra-operative radius joystick test to diagnose complete disruption of the interosseous
membrane. J Bone Joint Surg Br 2011;93(10):138994.
IMAGING TECHNIQUES
FesterEW, Murray PM, Sanders TG, et al. The efficacy of magnetic resonance imaging and ultra- sound in detecting
disruptions of the forearm interosseous membrane: a cadaver study. J Hand Surg Am 2002;27(3):41824.
Soubeyrand M et al. The muscular hernia sign: an original ultrasonographic sign to detect lesions of the forearms
interosseous membrane. Surg Radiol Anat 2006;28(3):3728.
Edwards GS, Jupiter JB. Radial head fractures with acute distal radioulnar dislocation. Essex-Lopresti revisited. Clin Orthop
Relat Res 1988;(234):619.
Grassmann JP, Hakimi M, Gehrmann SV, et al. The treatment of the acute Essex-Lopresti injury. Bone Joint J 2014;96-B(10):
138591.
IOM REPAIR
You cannot
build on sand:
Matthew 7-26