Successful mid-term results can be achieved by treating malunion of humeral condyle and proximal migration of the radius with simulta- neous Sauvé-Kapandji procedure at the wrist and reverse Sauvé-Kapandji at the elbow.
📌 3 Maddede Bu Makale
🎯
Amaç & Hipotez:Almost all reported cases of longitudinal radioulnar dissociation have involved fracture of the radial head, rupture of the interosseous membrane, and disruption of the distal radioulnar joint, although unusual patterns of Essex-Lopresti injury have also been described.
📊
Temel Bulgular & Veri:To our knowledge, this is the first report of a chronic Essex-Lopresti variant including fracture of the capitellum.
💡
Sonuç & Katkı:Successful mid-term results can be achieved by treating malunion of humeral condyle and proximal migration of the radius with simulta- neous Sauvé-Kapandji procedure at the wrist and reverse Sauvé-Kapandji at the elbow.
🔬Tür:Araştırma Makalesi
📍Kapsam:Genişletilmiş Akademik Örneklem
⚙️Değişkenler:Alan Parametreleri
Abstract
Almost all reported cases of longitudinal radioulnar dissociation have involved fracture of the radial head, rupture of the interosseous membrane, and disruption of the distal radioulnar joint, although unusual patterns of Essex-Lopresti injury have also been described. To our knowledge, this is the first report of a chronic Essex-Lopresti variant including fracture of the capitellum. A displaced capitellum fracture must alert to the possibility of longitudinal radioulnar dissociation, even without concomitant radial head fracture or symptoms at the forearm and ulnar wrist. Successful mid-term results can be achieved by treating malunion of humeral condyle and proximal migration of the radius with simulta- neous Sauvé-Kapandji procedure at the wrist and reverse Sauvé-Kapandji at the elbow.
🔖
Bu Makaleye Atıf Yap
CORTÉS, P. H., SÁNCHEZ, R. G., LÓPEZ, M. P., RAVASSA, F. O. (2014). Sauvé-Kapandji and reverse Sauvé-Kapandji procedures for treating chronic longitudinal radioulnar dissociation with capitellum fracture. Acta Orthopaedica et Traumatologica Turcica, Cilt: 48 - Sayı: 5, 593–597. https://ajindex.com/articles/354596
Kaynakça (15)
Essex-Lopresti P. Fractures of the radial head with distal radio-ulnar dislocation; report of two cases. J Bone Joint Surg Br 1951;33B:244-7
Edwards GS Jr, Jupiter JB. Radial head fractures with acute distal radioulnar dislocation. Essex-Lopresti revisited. Clin Orthop Relat Res 1988;234:61-9
Trousdale RT, Amadio PC, Cooney WP, Morrey BF. Radio-ulnar dissociation. A review of twenty cases. J Bone Joint Surg Am 1992;74:1486-97
Eglseder WA, Hay M. Combined Essex-Lopresti and radial shaft fractures: case report. J Trauma 1993;34:310-2
Gong HS, Chung MS, Oh JH, Lee YH, Kim SH, Baek GH. Failure of the interosseous membrane to heal with immobilization, pinning of the distal radioulnar joint, and bipolar radial head replacement in a case of Essex-Lopresti injury: case report. J Hand Surg Am 2010;35:976-80
Auyeung J, Broome G. The Essex-Lopresti lesion: a variant with a bony distal radioulnar joint injury. J Hand Surg Br 2006;31:206-7
Rodriguez-Martin J, Pretell-Mazzini J, Vidal-Bujanda C. Unusual pattern of Essex-Lopresti injury with negative plain radiographs of the wrist: a case report and literature review. Hand Surg 2010;15:41-5
Duckworth AD, Clement ND, Aitken SA, Ring D, McQueen MM. Essex-Lopresti lesion associated with an impacted radial neck fracture: interest of ulnar shortening in the secondary management of sequelae. J Shoulder Elbow Surg 2011;20:19-24
Sabo MT, Fay K, McDonald CP, Ferreira LM, Johnson JA, King GJ. Effect of coronal shear fractures of the distal humerus on elbow kinematics and stability. J Shoulder Elbow Surg 2010;19:670-80
Jungbluth P, Frangen TM, Arens S, Muhr G, Kälicke T. The undiagnosed Essex-Lopresti injury. J Bone Joint Surg Br 2006;88:1629-33
Karlstad R, Morrey BF, Cooney WP. Failure of freshfrozen radial head allografts in the treatment of EssexLopresti injury. A report of four cases. J Bone Joint Surg Am 2005;87:1828-33
Szabo RM, Hotchkiss RN, Slater RR Jr. The use of frozen-allograft radial head replacement for treatment of established symptomatic proximal translation of the radius: preliminary experience in five cases. J Hand Surg Am 1997;22:269-78
Heijink A, Morrey BF, van Riet RP, O'Driscoll SW, Cooney WP 3rd. Delayed treatment of elbow pain and dysfunction follow