桡尺骨纵向分离：急性和慢性损伤的识别与治疗

Longitudinal radioulnar dissociation: identification and treatment of acute and chronic injuries.

作者信息

Marcotte Anthony L, Osterman A Lee

机构信息

Department of Orthopedics, Ohio University, Grandview Medical Center, 405 W. Grand Avenue, Dayton, OH 45405, USA.

出版信息

Hand Clin. 2007 May;23(2):195-208, vi. doi: 10.1016/j.hcl.2007.01.005.

DOI:10.1016/j.hcl.2007.01.005

PMID:17548011

Abstract

In this article we describe the fundamental concepts that were established by Essex-Lopresti over 50 years ago and explore the current concepts in anatomy, biomechanics, diagnosis, and treatment for longitudinal radioulnar dissociation. Moreover, we present encouraging results for treating chronic injuries to the IOM achieved by bone-ligament-bone (BLB) reconstruction using a patellar tendon graft, giving hope for this seemingly unforgiving injury. A treatment algorithm is also provided to aid in the management of acute and chronic longitudinal radioulnar dissociation.

摘要

在本文中，我们描述了50多年前由埃塞克斯-洛普雷蒂确立的基本概念，并探讨了目前关于桡尺远侧关节分离在解剖学、生物力学、诊断和治疗方面的概念。此外，我们展示了使用髌腱移植进行骨-韧带-骨（BLB）重建治疗下尺桡关节慢性损伤所取得的令人鼓舞的结果，为这种看似难以治愈的损伤带来了希望。还提供了一种治疗算法，以帮助管理急性和慢性桡尺远侧关节分离。