Department of Orthopedic Surgery, Mayo Clinic, 200 1st Street Southwest, Rochester, MN 55905, USA. Electronic address: https://twitter.com/AnthonyLogliMD.
Department of Orthopedic Surgery, Mayo Clinic, 200 1st Street Southwest, Rochester, MN 55905, USA.
Hand Clin. 2020 Nov;36(4):397-406. doi: 10.1016/j.hcl.2020.07.010.
Three predictable patterns of forearm fracture-dislocation-Essex-Lopresti, Monteggia, and Galeazzi-can occur and are eponymously labeled for the investigators who appreciated their unique characteristics and offered a framework by which to understand them. Recognition of these injuries and subsequent investigation and increased understanding of these lesions have resulted in improved understanding about forearm anatomy and stability. Management of the component of instability differs based on the type of fracture-dislocation, the timing of intervention, and surgeon preference. Despite advances in understanding and treating these injuries, nuances of these lesions may remain challenging to modern-day surgeons.
前臂骨折脱位有三种可预测的模式——Essex-Lopresti、Monteggia 和 Galeazzi,可以发生,并以发现其独特特征并提供理解框架的研究者的名字命名。对这些损伤的认识以及对这些病变的进一步研究和深入了解,提高了对手前臂解剖结构和稳定性的认识。不稳定的处理方式取决于骨折脱位的类型、干预的时机和外科医生的偏好。尽管对这些损伤的理解和治疗有所进展,但这些病变的细微之处对现代外科医生来说可能仍然具有挑战性。