处理急性和慢性 Essex-Lopresti 损伤中的中央带：病例报告和技术描述。
Addressing the Central Band in Acute and Chronic Essex-Lopresti Injury: A Case Report and Technique Description.
机构信息
Miami Orthopaedic Research Foundation, Miami, Florida.
Flinder Medical Centre, Adelaide, South Australia, Australia.
出版信息
JBJS Case Connect. 2024 May 31;14(2). doi: 10.2106/JBJS.CC.24.00059. eCollection 2024 Apr 1.
CASE
A 34-year-old man was acutely treated with radial head arthroplasty and central band repair following Essex-Lopresti injury. A 38-year-old man presented with chronic longitudinal instability following failed radial head arthroplasty, which was performed for failed fixation. Treatment with revision radial head arthroplasty and central band reconstruction restored longitudinal stability.
CONCLUSION
We have a low threshold to repair the central band in acute Essex-Lopresti injury with sufficient evidence of disruption. Nearly all chronic cases require central band reconstruction to restore longitudinal stability. We do not temporarily pin the DRUJ, and distal ulnar shortening is rarely indicated.
病例
一名 34 岁男性因 Essex-Lopresti 损伤接受桡骨头置换和中央带修复急性治疗。一名 38 岁男性因桡骨头置换术失败固定失败而出现慢性纵向不稳定，随后接受桡骨头置换术翻修和中央带重建治疗，恢复了纵向稳定性。
结论
我们对急性 Essex-Lopresti 损伤中中央带的修复有较低的阈值，且有充分的证据表明其已经破裂。几乎所有慢性病例都需要进行中央带重建以恢复纵向稳定性。我们不暂时固定 DRUJ，也很少需要进行尺骨远端缩短。
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