Role of the interosseous membrane in post-traumatic forearm instability: instructional review.

Autor: Meglic U; Department of Orthopaedic Surgery, University Medical Centre Ljubljana, Zaloska cesta 9, 1000, Ljubljana, Slovenia. u_meglic@yahoo.com.; ESSKA Elbow and Forearm Scientific Committee 2020 - 2022, Milan, Italy. u_meglic@yahoo.com., Szakacs N; ESSKA Elbow and Forearm Scientific Committee 2020 - 2022, Milan, Italy.; Department of Orthopedics, Semmelweis University, Üllői út 78, Budapest, Hungary., Menozzi M; Orthopaedic Clinic, Department of Medicine and Surgery, University Hospital of Parma, Viale Antonio Gramsci 14, Parma, Italy., Barco R; ESSKA Elbow and Forearm Scientific Committee 2020 - 2022, Milan, Italy.; Upper Limb Unit, Department of Orthopaedic Surgery, La Paz University Hospital, Paseo de la Castellana 261, Madrid, Spain., Alentorn-Geli E; ESSKA Elbow and Forearm Scientific Committee 2020 - 2022, Milan, Italy.; Instituto Cugat, Hospital Quirónsalud Barcelona, Barcelona, Spain.; Fundación García-Cugat, Barcelona, Spain.; Mutualidad Española de Futbolistas - Delegación Cataluña, Barcelona, Spain., Colozza A; ESSKA Elbow and Forearm Scientific Committee 2020 - 2022, Milan, Italy.; Ortopedia E Traumatologia Ospedale Degli Infermi Faenza, Viale Stradone 9, Faenza, RA, Italy.
Jazyk: angličtina
Zdroj: International orthopaedics [Int Orthop] 2021 Oct; Vol. 45 (10), pp. 2619-2633. Date of Electronic Publication: 2021 Jul 31.
DOI: 10.1007/s00264-021-05149-4
Abstrakt: Purpose: In the last two decades, a strong interest on the interosseous membrane (IOM) has developed.
Methods: The authors present a review of the new concepts regarding the understanding of forearm physiology and pathology, with current trends in the surgical management of these rare and debilitating injuries.
Results: Anatomical and biomechanical studies have clarified the anatomy of forearm constrains and their role in forearm longitudinal and transverse stability. The radial pull test, a new intraoperative test, has been developed that might increase the detection on IOM injuries. The forearm is now considered a "functional unit" and, consequently, a new classification has been proposed. Uncommon variants and rare patterns of forearm fracture dislocations have been reported in the literature and could not be classified to those commonly referred to using eponyms (Monteggia, Galeazzi, Essex-Lopresti). The new Artiaco et al. classification includes all injury patterns, thus avoids confusion in the nomenclature, and helps surgeon with detection of lesions and guiding surgical treatment.
Conclusion: Based on the new classification and after current literature review, authors propose a management flowchart for treatment of forearm instability injuries.
(© 2021. SICOT aisbl.)
Databáze: MEDLINE
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