Ultrasound-guided transection of the interosseous membrane of the forearm.

Autor: Descamps J; Department of orthopedic surgery, École de Chirurgie, Assistance publique-Hôpitaux de Paris, 7, rue du Fer-à-Moulin, 75005 Paris, France. Electronic address: jules.descamps@aphp.fr., Costil V; Centre de la main échochirurgie de Versailles, 7bis, rue de la Porte-de-Buc, 78000 Versailles, France., Apard T; Centre de la main échochirurgie de Versailles, 7bis, rue de la Porte-de-Buc, 78000 Versailles, France.
Jazyk: angličtina
Zdroj: Hand surgery & rehabilitation [Hand Surg Rehabil] 2020 May; Vol. 39 (3), pp. 167-170. Date of Electronic Publication: 2020 Feb 20.
DOI: 10.1016/j.hansur.2020.01.008
Abstrakt: We sought to evaluate the feasibility of ultrasound-guided transection of the interosseous membrane of the forearm. The study involved ten forearms from five fresh cadavers. An ultrasound scanner (Toshiba™ Aplio V®, Toshigi, Japan) with a linear probe (Toshiba™ PLT-805AT 8Mhz) and a 25-cm long Kemis® knife (NewClip Technics™, Cholet, France), which was specially created for this study, were used. An approach to the distal and proximal radioulnar joint was made before the transection. The induced muscle hernia sign and the radius joystick test were performed to confirm the effectiveness of the ultrasound-guided transection. Complete dissection of the posterior surface of the forearm was done to check for complications and evaluate the quality of the transection. We registered nine complete transections of the interosseous membrane. The muscular hernia sign was present in all the cases performed. The joystick test was positive in eight cases. One forearm had a vascular complication. This ultrasound-guided interosseous membrane transection technique is feasible and effective with limited vascular and nerve risks. A prospective clinical study is required to validate this anatomical work.
(Copyright © 2020. Published by Elsevier Masson SAS.)
Databáze: MEDLINE
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