Interosseous Membrane of the Forearm

Matthias, Robert C.; Wright, Thomas W.

doi:10.1055/s-0036-1584326

Cited by 24 publications

(36 citation statements)

References 32 publications

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“…Transverse and longitudinal stability is necessary for the human forearm, which is viewed as a dynamic structural entirety. [6] To accomplish accurate and remarkable tasks, the forearm bones must act as a single functional unit in consort with the interosseous membranes and ipsilateral radioulnar joints. Anatomical restoration and stable fixation are mandatory in the treatment of any forearm fracture, which should be treated in an equivalent manner as an intraarticular fracture.…”

Section: Discussionmentioning

confidence: 99%

A very rare presentation of reoperation combined both old Monteggia fracture and secondary distal radioulnar joint dislocation in adult

Zhang

Xiao²,

Li³

2019

Medicine

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Rationale: The old Monteggia fracture is an uncommon lesion pattern in adult, which may lead to the potential complications such as recurrent dislocation of the radial head, heterotopic ossification of the elbow, nerve palsy, malunion of the ulna, and residual forearm deformity. However, the secondary distal radioulnar joint (DRUJ) dislocation is rarely reported in the similar lesion. Here we present a unique reoperation of old Monteggia fracture combined with secondary DRUJ disruption after the initial operation failure. Patient concerns: A 38-year-old male presented to our hospital outpatient office complaining of left elbow stiffness and ongoing wrist dysfunction with a history of injury to the left forearm caused by a forklift accident that occurred 5 months previously. Diagnosis and interventions: At the local hospital, the patient underwent successively fasciotomy and decompression, ulnar open reduction, and internal fixation due to osteofascial compartment syndrome and a misdiagnosed ulnar fracture. Upon examination, the secondary dorsal dislocation of the DRUJ was obvious both clinically and radiographically. We performed a revision surgery called ulnar osteotomy, radioulnar ligament repair, and temporary fixation of the DRUJ with a Kirschner wire. Outcomes: The patient received a satisfactory result without observed redislocation and relapse according to the 1-year follow-up. Lessons: Considering the notoriously poor outcomes, the importance of early recognition and accurate treatment should be emphasized repeatedly in similar lesions. Paying close and continuous attention to the clinical and radiographic examinations of the elbow and wrist joint is necessary to avoid misdiagnosis and missed diagnosis.

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Section: Discussionmentioning

confidence: 99%

A very rare presentation of reoperation combined both old Monteggia fracture and secondary distal radioulnar joint dislocation in adult

Zhang

Xiao²,

Li³

2019

Medicine

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“…Studies have shown that the interosseous membrane contributes to the stability of the forearm. Interosseous membrane rupture may cause humeroradial joint and ulnocarpal joint impaction, elbow and wrist pain, and limited forearm movement [21][22][23] . Gutowski et al 24 reported that the values for supination and pronation increased by 26% and 22%, respectively, after cutting the interosseous membrane of the forearm.…”

Section: Repairing the Coronacloid Fracturementioning

confidence: 99%

Single Modified Posterior Approach through the Space of the Proximal Radioulnar Joint for Terrible Triad Injury: A Comparative Study

Song

et al. 2022

Orthopaedic Surgery

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Objective:In order to reduce surgical scars and the risk of neurovascular injury for the treatment of terrible triad injuries of the elbow (TTI), minimally invasive and better therapeutic effect approaches are being explored to replace the conventional combined lateral and medial approach (CLMA). This study was performed to compare the clinical effect and security of the modified posterior approach (MPA) through the space of the proximal radioulnar joint vs the CLMA for treatment of TTI.Methods: This study retrospectively analyzed 76 patients treated for TTI from January 2009 to December 2020 (MPA: n = 44; CLMA: n = 32). Treatment involved plate and screw fixation or Steinmann pin fixation for the radial head and ulnar coronoid process fractures. Surgeons only sutured the lateral ligament because the medial collateral ligament was usually integrated in the TTI. The continuous variables were compared by the independent Student t-test and the categorical variables by the χ 2 -test or Fisher's exact test.Results: Both groups of patients attained a satisfactory MEPS after the operation. The MEPS (MPA: 96.82 AE 6.04 vs CLMA: 96.56 AE 5.51) was not significantly different between the two groups (p > 0.05). However, the MPA resulted in better elbow flexion and extension (

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“…It can occur at 3 different locations: (1) within the supinator muscle, close to the radial tuberosity, in the case of insufficient intraoperative washing; (2) at the opposite side of the radial tuberosity, in the case of extensive drilling, resulting in cortical effraction; and (3) close to the proximal radioulnar joint, in the case of a proximal interosseous membrane lesion. In the third location, proximal radioulnar synostosis may also develop . Ultrasonography shows heterotopic ossification earlier than does radiography, showing hyperechoic nodules or streaks with posterior acoustic attenuation within muscles .…”

Section: Imaging Appearance Of Surgical Complicationsmentioning

confidence: 99%

“…In the third location, proximal radioulnar synostosis may also develop. 9,38 Ultrasonography shows heterotopic ossification earlier than does radiography, showing hyperechoic nodules or streaks with posterior acoustic attenuation within muscles. 9,10,39 Indomethacin and radiotherapy have been used in an effort to prevent heterotopic ossification.…”

Section: Imaging Appearance Of Surgical Complicationsmentioning

confidence: 99%

Ultrasonography of Complications in Surgical Repair of the Distal Biceps Brachii Tendon

Créteur¹,

Madani²,

Sattari³

et al. 2018

J of Ultrasound Medicine

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Interosseous Membrane of the Forearm

Cited by 24 publications

References 32 publications

A very rare presentation of reoperation combined both old Monteggia fracture and secondary distal radioulnar joint dislocation in adult

A very rare presentation of reoperation combined both old Monteggia fracture and secondary distal radioulnar joint dislocation in adult

Single Modified Posterior Approach through the Space of the Proximal Radioulnar Joint for Terrible Triad Injury: A Comparative Study

Ultrasonography of Complications in Surgical Repair of the Distal Biceps Brachii Tendon

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