Singh Ajay-Pal, Dhammi Ish-Kumar, Jain Anil-Kumar
Department of Orthopaedics, UCMS and GTB Hospital, Delhi 110095, India.
Chin J Traumatol. 2011 Apr 1;14(2):111-3.
A 45 year old woman was diagnosed as having anteromedial radial head dislocation and distal radius fracture five months after her injury on right forearm. The radial head dislocation led to ulnar nerve compression. She had severe restriction of her elbow movements. She was treated with arthrolysis, decompression of the ulnar nerve and radial head resection. The reverse Essex Lopresti injury and radial head dislocation compressing the ulnar nerve has not been reported in English language literature to the best of our knowledge. A mechanism is proposed for the injury. In acute presentations, restoration of both the radioulnar joints should be done and neglected nature of such injury leads to suboptimal outcomes.
一名45岁女性在右前臂受伤五个月后被诊断为桡骨头前内侧脱位及桡骨远端骨折。桡骨头脱位导致尺神经受压。她的肘部活动严重受限。她接受了关节松解、尺神经减压及桡骨头切除术治疗。据我们所知，英文文献中尚未报道过反向埃塞克斯-洛普雷斯蒂损伤及桡骨头脱位压迫尺神经的情况。本文提出了一种损伤机制。在急性损伤时，应恢复桡尺关节，而忽视此类损伤的性质会导致治疗效果欠佳。
