Disruption Of Interosseous Membrane Research Articles

A Case Report of Monteggia Fracture with Disruption of Interosseous Membrane Reconstructed with Suture-Button

A Case Report of Monteggia Fracture with Disruption of Interosseous Membrane Reconstructed with Suture-Button

Chronic post-traumatic radial head dislocation associated with dissociation of distal radio-ulnar joint: a case report

We present an unusual case of an isolated interosseous membrane disruption of the forearm without any fracture pattern. Dislocation of both radial head and distal radio-ulnar joint was presented. Open reduction of the radial head with radial neck shortening osteotomy was performed.

Divergent Dislocation of Elbow with Ipsilateral Distal Radioulnar Joint Dislocation in a Gymnast

Divergent dislocation of the elbow is a rare injury. It is a result of longitudinal disruption of interosseous membrane of forearm. Although it can logically result in disruption of distal radioulnar joint, according to the authors’ knowledge this combination has not been reported before. The case of a young gymnast is presented who suffered this injury. She was treated successfully in a hinged external fixator and with stabilization of distal radioulnar joint by a K-wire. She regained almost full range of movement and returned to national level gymnastics.

Sonographic evaluation of lower extremity interosseous membrane injuries: retrospective review in 3 patients.

To describe the sonographic findings of lower extremity interosseous membrane disruption with computed tomographic and surgical correlation. Three patients with sonographic evaluation of the lower extremity interosseous membrane were identified through the clinical experience of 1 author over a 5-year period. Sonographic images of the symptomatic and unaffected lower extremities were retrospectively characterized and correlated with computed tomographic and surgical findings by 2 fellowship-trained musculoskeletal radiologists. The normal interosseous membrane was identified in the asymptomatic lower extremities in all 3 patients, which appeared as a thin, hyperechoic (nearly equal to bone cortex) line, continuous from the tibia to the fibula. The abnormal interosseous membrane in all 3 cases appeared abnormally hypoechoic, poorly defined, and discontinuous at the tibia. A proximal fibular fracture was shown on sonography in 1 of 3 symptomatic lower extremities with radiographic evidence of a fracture. The sonographic findings correlated with the computed tomographic images. Distal tibiofibular syndesmosis injuries were confirmed and treated at surgery in 2 patients. Sonography can show both normal and injured interosseous membranes of the lower extremity, as well as associated proximal fibular fractures.

Paper #53 Clinically relevant morphology of the proximal radius

The distal biceps tendon inserts into the proximal radius at the bicipital tuberosity. Tendon avulsion requires surgical repair for normal function. Severe fractures of the radial head with interosseous membrane disruption may require a prosthetic radial head implant. The literature is sparse as to the anatomy of the proximal radius, tuberosity morphology, or the biceps insertion.

Ultrasonography for the evaluation of forearm interosseous membrane disruption in a cadaver model.

Recognition of interosseous membrane disruption associated with radial head injury and Essex-Lopresti injury is important, especially if radial head excision is contemplated. Because a widely accepted method to diagnose interosseous membrane disruption does not exist, we evaluated the accuracy of ultrasonography to diagnose this injury in a cadaver model. Nine pairs of cadaver forearms were randomized into 2 groups. The central third of the interosseous membrane of forearms of group 1 was cut, whereas it was visualized but not cut in group 2. A dynamic ultrasound examination was performed to determine interosseous membrane integrity, and static images were made. The static images were evaluated by 2 other radiologists and interpretations were recorded. One radiologist incorrectly interpreted 1 pair of forearms; the other 2 radiologists were 100% accurate. The accuracy of ultrasonography in detecting interosseous injuries was 96% with our methods.