埃塞克斯-洛普雷斯蒂损伤

The Essex-Lopresti Injury.

作者信息

Guss Michael S, Rettig Michael E

出版信息

Bull Hosp Jt Dis (2013). 2019 Mar;77(1):33-38.

Abstract

The Essex-Lopresti injury is caused by a high energy mechanism and consists of a characteristic triad: a comminuted radial head fracture, disruption of the distal radioulnar joint, and tearing of the interosseous membrane. These injuries are often difficult to diagnosis on initial evaluation, and the majority are missed acutely. Chronic Essex-Lopresti injuries lead to radioulnar longitudinal instability, proximal radius migration, ulnocarpal impaction, and chronic elbow pain. These injuries present a challenging problem for the treating surgeon.

摘要

埃塞克斯-洛普雷斯蒂损伤由高能机制引起，包括典型的三联征：桡骨头粉碎性骨折、下尺桡关节脱位和骨间膜撕裂。这些损伤在初次评估时往往难以诊断，大多数在急性期被漏诊。慢性埃塞克斯-洛普雷斯蒂损伤会导致尺桡骨纵向不稳定、桡骨近端移位、尺腕撞击和慢性肘部疼痛。这些损伤给治疗外科医生带来了一个具有挑战性的问题。