Gong Hyun Sik, Chung Moon Sang, Oh Joo Han, Lee Young Ho, Kim Sae Hoon, Baek Goo Hyun
Department of Orthopaedics, Hand and Upper Extremity Service, Seoul National University Bundang Hospital, Seongnam, Korea.
J Hand Surg Am. 2010 Jun;35(6):976-80. doi: 10.1016/j.jhsa.2010.03.004. Epub 2010 May 7.
The authors report a case of a patient with complex radial head and ulnar shaft fractures with an associated tear of the interosseous membrane, which failed to heal despite open reduction internal fixation of the ulna, a bipolar radial head replacement, and cross pinning of the distal radioulnar joint. This case demonstrates that failure of the interosseous membrane can occur even in a properly replaced bipolar radial head with adequate immobilization of the forearm and pinning of the distal radioulnar joint.
作者报告了一例复杂的桡骨头和尺骨干骨折患者,伴有骨间膜撕裂,尽管对尺骨进行了切开复位内固定、双极桡骨头置换以及桡尺远侧关节交叉克氏针固定,但骨折仍未愈合。该病例表明,即使在双极桡骨头置换恰当、前臂固定充分且桡尺远侧关节克氏针固定的情况下,骨间膜仍可能出现损伤。