Longitudinal instability of the forearm

Phadnis, Joideep; Watts, Adam C.

doi:10.1007/s00132-016-3329-7

Cited by 6 publications

(1 citation statement)

References 42 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…If an IOM injury is suspected, the diagnosis can be made on a (3 Tesla) magnetic resonance image (MRI) of the forearm, an ultrasound by a dedicated musculoskeletal radiologist or elbow/wrist surgeon, or dynamic examination under fluoroscopy. 21 Injuries of the medial collateral ligaments (MCL) or lateral collateral ligaments (LCL) can be assessed with MRI or ultrasound, but the sensitivity to detect pathology of the lateral ulnar collateral ligament is reported to be insufficient to rule out injury solely based on negative imaging. In case of clear valgus (milking manoeuvre, moving valgus stress test) or varus instability (varus stress test, pivot shift test) dynamic examination under fluoroscopy may be sufficient to detect it.…”

Section: Advanced Work-upmentioning

confidence: 99%

Management of the failed radial head arthroplasty

et al. 2020

View full text Add to dashboard Cite

Primary radial head arthroplasty (RHA) produces good or excellent results in approximately 85% of patients. However, complications are not uncommon and have been described in up to 23% of cases. The number of RHA is increasing, and consequently the absolute number of complications is expected to rise as well. The decision on whether to revise or remove the prosthesis seems more likely to depend on the preference of the surgeon or the hospital, rather than on objectifying problems with the prosthesis. The current article presents an algorithm for the work-up and treatment of most complications that can occur following RHA. Five subgroups of problems were identified: osteoarthritis, stiffness, instability, infection and implant-related issues. In short, the preferred treatment depends mainly on the chondral condition and stability of the elbow joint. Cite this article: EFORT Open Rev 2020;5:398-407. DOI: 10.1302/2058-5241.5.190055

show abstract

Section: Advanced Work-upmentioning

confidence: 99%

Management of the failed radial head arthroplasty

et al. 2020

View full text Add to dashboard Cite

show abstract

The proximal radioulnar joint in consideration of the distal radioulnar joint

Oppermann

Burkhart

Löw³

et al. 2018

Orthopäde

View full text Add to dashboard Cite

The movement of the forearm follows a complex interplay of three main components: the proximal and distal radioulnar joint and the interosseous membrane. Injuries to one or even all components have a huge impact on the integrity of this system. The Essex-Lopresti lesion presented a high challenge in clinical diagnostics as well as therapy. Reconstructions of the length and stability are essential for a satisfactory postoperative outcome. If a reconstruction of the radial head by osteosynthesis is not possible, a radial head prosthesis should be implanted in the case of longitudinal instability - avoiding overlapping and/or oversizing. The reconstruction of the interosseous membrane should be considered, as well as the assessment of the distal radioulnar joint and/or the triangular fibrocartilage complex. Various reconstruction options are available in this regard.

show abstract

An uncommon variant of the Essex-Lopresti injury

et al. 2017

View full text Add to dashboard Cite

The Essex-Lopresti injury is an extremely rare condition combining radial head or neck fracture, distal radio-ulnar joint dislocation and rupture of the interosseous membrane. However, there are rare or unusual varieties or associated injuries. We report a case of a 46-year-old woman with a posterior dislocation of the radio-humeral joint, a radial shaft fracture, and a distal radio-ulnar joint dislocation. She underwent open reduction and internal fixation of the radial shaft fracture followed by an immobilization by a long elbow splint in supination for 6 weeks. At 18 months of follow-up, she was asymptomatic and she had a full range of elbow and wrist motion and had resumed thoroughly her previous job. The Essex-Lopresti injury results from a complex injury to the forearm axis with resultant longitudinal instability, which can be challenging to treat. There are some variations that can lead to a missed diagnosis resulting in persistent pain and instability of the wrist. The best outcomes are reached with early diagnosis and prompt management.

show abstract

Longitudinal instability of the forearm

Cited by 6 publications

References 42 publications

Management of the failed radial head arthroplasty

Management of the failed radial head arthroplasty

The proximal radioulnar joint in consideration of the distal radioulnar joint

An uncommon variant of the Essex-Lopresti injury

Contact Info

Product

Resources

About