Role of the interosseous membrane in post-traumatic forearm instability: instructional review.
Int Orthop
; 45(10): 2619-2633, 2021 10.
Article
en En
| MEDLINE
| ID: mdl-34331102
ABSTRACT
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.Palabras clave
Texto completo:
1
Colección:
01-internacional
Base de datos:
MEDLINE
Asunto principal:
Fracturas del Radio
/
Articulación del Codo
/
Traumatismos del Antebrazo
Tipo de estudio:
Diagnostic_studies
Límite:
Humans
Idioma:
En
Revista:
Int Orthop
Año:
2021
Tipo del documento:
Article
País de afiliación:
Eslovenia