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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.

DOI:10.2106/JBJS.CC.24.00059
PMID:38820195
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11139232/
Abstract

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.

摘要

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。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/12cb/11139232/e1d8bb7c207c/jbjscc-14-e24.00059-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/12cb/11139232/f3a2c76f76c9/jbjscc-14-e24.00059-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/12cb/11139232/79fb7eef0cf1/jbjscc-14-e24.00059-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/12cb/11139232/fa9ad9397ab5/jbjscc-14-e24.00059-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/12cb/11139232/e8250bd8f808/jbjscc-14-e24.00059-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/12cb/11139232/b131589468a9/jbjscc-14-e24.00059-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/12cb/11139232/e1d8bb7c207c/jbjscc-14-e24.00059-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/12cb/11139232/f3a2c76f76c9/jbjscc-14-e24.00059-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/12cb/11139232/79fb7eef0cf1/jbjscc-14-e24.00059-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/12cb/11139232/fa9ad9397ab5/jbjscc-14-e24.00059-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/12cb/11139232/e8250bd8f808/jbjscc-14-e24.00059-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/12cb/11139232/b131589468a9/jbjscc-14-e24.00059-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/12cb/11139232/e1d8bb7c207c/jbjscc-14-e24.00059-g006.jpg

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本文引用的文献

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Defining acute Essex-Lopresti injuries is problematic and variable: a systematic review.定义急性埃塞克斯-洛普雷斯蒂损伤存在问题且具有变异性：一项系统评价。
EFORT Open Rev. 2022 Oct 26;7(10):727-733. doi: 10.1530/EOR-22-0066.
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Essex-Lopresti Lesions and Longitudinal Radioulnar Instability: A Narrative Review.埃塞克斯-洛普雷斯蒂损伤与桡尺骨纵向不稳定：一篇叙述性综述
JBJS Rev. 2022 Mar 3;10(3):01874474-202203000-00006. doi: e21.00212.
3
Results of radial head prostheses implanted during Essex-Lopresti syndrome in multicentric study.多中心研究中 Essex-Lopresti 综合征患者植入桡骨头假体的结果。
Int Orthop. 2021 Jun;45(6):1549-1557. doi: 10.1007/s00264-021-04987-6. Epub 2021 Mar 8.
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The interosseous tuberosity of radius: a descriptive radiological and cadaveric anatomical study.桡骨骨间嵴：一项描述性放射学和尸体解剖学研究。
Surg Radiol Anat. 2021 May;43(5):727-734. doi: 10.1007/s00276-020-02594-5. Epub 2020 Oct 12.
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A Novel Algorithmic Approach to Chronic Forearm Longitudinal Instability.一种治疗慢性前臂纵向不稳定的新型算法方法。
Tech Hand Up Extrem Surg. 2018 Sep;22(3):81-88. doi: 10.1097/BTH.0000000000000195.
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Radial Head Arthroplasty Understuffing in the Setting of Longitudinal Radioulnar Dissociation: A Case Report.纵向桡尺骨分离情况下桡骨头置换术假体填充不足：一例报告
JBJS Case Connect. 2016 Oct-Dec;6(4):e81. doi: 10.2106/JBJS.CC.15.00258.
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Single- versus double-bundle suture button reconstruction of the forearm interosseous membrane for the chronic Essex-Lopresti lesion.单束与双束缝线纽扣重建前臂骨间膜治疗慢性埃塞克斯-洛普雷斯蒂损伤
Eur J Orthop Surg Traumatol. 2018 Apr;28(3):409-413. doi: 10.1007/s00590-017-2051-4. Epub 2017 Oct 6.
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Outcome of Early and Late Diagnosed Essex-Lopresti Injury.早期和晚期诊断的埃塞克斯-洛普雷斯蒂损伤的结果
J Bone Joint Surg Am. 2017 Jun 21;99(12):1043-1050. doi: 10.2106/JBJS.16.01203.
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Suture button reconstruction of the central band of the interosseous membrane in Essex-Lopresti lesions: a comparative biomechanical investigation.埃塞克斯-洛普雷斯蒂损伤中骨间膜中央束的缝线纽扣重建：一项比较性生物力学研究
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