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桡骨头和骨干同时骨折伴桡尺远侧关节脱位:一种罕见的 Essex-Lopresti 损伤变异型。

Concomitant Fracture Radial Head and Shaft With Dislocation of the Distal Radioulnar Joint: A Rare Variant of the Essex-Lopresti Lesion.

机构信息

From the Military Hospital Dehradun, Dehradun, India (Dr. Kaul and Dr. Akhoon), and the Department of Orthopaedics, Armed Forces Medical College, Pune, India (Dr. Sood).

出版信息

J Am Acad Orthop Surg Glob Res Rev. 2022 Aug 8;6(8). doi: 10.5435/JAAOSGlobal-D-22-00042. eCollection 2022 Aug 1.

Abstract

The Essex-Lopresti lesion is a challenging injury both for diagnosis and management. These often tend to be missed, resulting in incapacitating pain and joint stiffness despite treatment. In rare circumstances, they may occur in association with other injuries of the forearm or elbow. We describe an atypical Essex-Lopresti variant comprising a radial head and shaft fracture with an associated distal radioulnar joint dislocation in a 36-year-old man.

摘要

埃塞克斯-洛普雷斯特i 损伤既是一种具有挑战性的损伤,无论是在诊断还是在治疗方面。这些损伤往往容易被漏诊,导致尽管进行了治疗,但仍会出现使人丧失能力的疼痛和关节僵硬。在极少数情况下,它们可能与前臂或肘部的其他损伤同时发生。我们描述了一种不典型的埃塞克斯-洛普雷斯特 i 变异型,包括一名 36 岁男性的桡骨头和骨干骨折,伴有相关的下尺桡关节脱位。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6fa2/10567035/b304cd7a928c/jagrr-6-e22.00042-g001.jpg

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