Adams Julie E, Culp Randall W, Osterman A Lee
Department of Orthopedic Surgery, University of Minnesota, Minneapolis, MN 55454, USA.
J Hand Surg Am. 2010 Jan;35(1):129-36. doi: 10.1016/j.jhsa.2009.10.007.
The Essex-Lopresti lesion, or radioulnar longitudinal dissociation, results from an axial load to the forearm with injury to the radial head and disruption of the interosseous membrane and the distal radioulnar joint. Unfortunately, an appreciation of the true extent of injury is not always realized in the acute setting, and patients present later with persistent or new reports of forearm discomfort and wrist and elbow pain. Reconstruction of the central band of the interosseous membrane with a bone-patellar tendon-bone graft is useful in the chronic setting and is described.
埃塞克斯-洛普雷斯蒂损伤，即桡尺骨纵向分离，是由于前臂受到轴向负荷，导致桡骨头损伤、骨间膜及下尺桡关节断裂所致。遗憾的是，在急性期往往无法充分认识到损伤的真实程度，患者随后会出现前臂持续不适或新出现的前臂不适以及手腕和肘部疼痛的症状。本文描述了在慢性期使用髌腱骨移植重建骨间膜中央束的方法，该方法很有用。
