The Interosseous Ligament and the Essex-Lopresti Injury

2010 ◽  
pp. 551-558
Keyword(s):  
Interosseous Ligament ◽  
Essex Lopresti

Radio-Ulnar Synostosis Complicating Partial Mid-Diaphyseal Ulnar Ostectomy in Growing Dogs

1992 ◽  
Vol 05 (01) ◽  
pp. 26-30 ◽  
Author(s):  
G. C. MacPherson ◽  
K. A. Johnson
Keyword(s):  
The Other ◽  
Interosseous Ligament

SummaryRadio-ulnar synostosis developed in two dogs that had partial mid-diaphyseal ulnar ostectomies performed to correct asynchronous growth of the radius and ulna. The synostosis was apparently painful and caused lameness in one dog, and exacerbated humero-ulnar subluxation in the other dog. Periosteal and interosseous ligament trauma, together with the location of the ulnar ostectomy, radial overstrain and radial hypertrophy were considered to be important factors in the pathogenesis of synostosis formation in these cases.Radio-ulnar synostosis was a complication of mid-diaphyseal ulnar ostectomy in two young dogs.

scholarly journals Kinematic analysis of two scapholunate ligament reconstruction techniques

2021 ◽  
Vol 29 (2) ◽  
pp. 230949902110258
Author(s):  
Seungbum Chae ◽  
Junho Nam ◽  
Il-Jung Park ◽  
Steven S. Shin ◽  
Michelle H. McGarry ◽  
...  
Keyword(s):  
Kinematic Analysis ◽  
Clinical Relevance ◽  
Ligament Reconstruction ◽  
Operative Time ◽  
Efficient Technique ◽  
Scapholunate Ligament ◽  
Interosseous Ligament ◽  
Flexion Extension

Purpose: This study compares the kinematic changes after the procedures for scapholunate interosseous ligament (SLIL) reconstruction—the modified Brunelli technique (MBT) and Mark Henry’s technique (MHT). Methods: Ten cadaveric wrists were used. The scapholunate (SL) interval and angle and radiolunate (RL) angle were recorded using the MicroScribe system. The SL interval was measured by dividing the volar and dorsal portions. Four motions of the wrist were performed—neutral, flexion, extension, and clenched fist (CF) positions—and compared among five conditions: (1) intact wrist, (2) volar SLIL resection, (3) whole SLIL resection, (4) MBT reconstruction, and (5) MHT reconstruction. Results: Under the whole SLIL resection condition, the dorsal SL intervals were widened in all positions. In all positions, the dorsal SL intervals were restored after MBT and MHT. The volar SL interval widened in the extension position after volar SLIL resection. The volar SL interval was not restored in the extension position after MBT and MHT. The SL angle increased in the neutral and CF positions under the whole SLIL resection condition. The SL angle was not restored in the neutral and CF positions after MBT and MHT. The RL angle increased in the neutral and CF positions under the whole SLIL resection condition. The RL angle was not restored in the neutral and CF positions after MBT and MHT. Conclusion: The MBT and MHT may restore the dorsal SL interval. No significant differences in restoration of the SL interval between MBT and MHT were found in the cadaveric models. Clinical relevance: No significant differences between MBT and MHT were found in the cadaveric models for SLIL reconstruction. When considering the complications due to volar incision and additional procedures in MHT, MBT may be a more efficient technique in terms of operative time and injury of the anterior structures during surgery, but further research is needed.

Outcomes Following Surgical Treatment of Hamate Arthrosis Lunotriquetral Ligament Injuries

Hand ◽  
2021 ◽  
pp. 155894472110432
Author(s):  
Jesse Meaike ◽  
Joshua Meaike ◽  
Sanjeev Kakar
Keyword(s):  
Surgical Treatment ◽  
Treatment Group ◽  
Combined Treatment ◽  
Additional Treatment ◽  
Ligament Injuries ◽  
Interosseous Ligament ◽  
Institutional Review ◽  
Lunotriquetral Ligament ◽  
Treatment Plans ◽  
And Function

Background: An institutional review board–approved study of the functional outcomes of patients after surgical treatment of hamate arthrosis lunotriquetral ligament tear (HALT) lesions was conducted. Methods: In all, 21 wrists in 19 patients underwent arthroscopic, open, or combined treatment of HALT lesions. Seven patients underwent isolated hamate debridement and 14 had concomitant procedures to address lunotriquetral pathology. Nineteen wrists underwent procedures to address additional pathology, including triangular fibrocartilage complex, ulnotriquetral ligament split, and scapholunate ligament injuries. Results: Mayo wrist scores increased from 54 to 71. Sixteen patients had no or mild pain postoperatively, compared with none preoperatively. When stratified by lunotriquetral interosseous ligament management, 75% of the limited treatment group (none or debridement) and 78% of the additional treatment group reported improved pain. Three patients underwent additional surgeries for persistent pain. Conclusion: Resection of the proximal pole of the hamate can improve pain and function for patients with ulnar-sided wrist pain secondary to a HALT lesion. Concomitant wrist pathologies should be considered when determining treatment plans.

The Anatomic, Constraint and Material Properties of the Scapholunate Interosseous Ligament: A Preliminary Study

1994 ◽  
pp. 9-16 ◽  
Author(s):  
Richard A. Berger ◽  
Toshihiko Imaeda ◽  
Lawrence Berglund ◽  
Kai-Nan An ◽  
William P. Cooney ◽  
...  
Keyword(s):  
Material Properties ◽  
Interosseous Ligament ◽  
Preliminary Study

Chronic Essex-Lopresti injuries: an alternative treatment method

2014 ◽  
Vol 23 (6) ◽  
pp. 861-866 ◽  
Author(s):  
Aaron I. Venouziou ◽  
Loukia K. Papatheodorou ◽  
Robert W. Weiser ◽  
Dean G. Sotereanos
Keyword(s):  
Alternative Treatment ◽  
Treatment Method ◽  
Essex Lopresti

The essex-lopresti injury: A variation

1988 ◽  
Vol 13 (4) ◽  
pp. 450-452 ◽  
Author(s):  
E HARGADON ◽  
M PORTER
Keyword(s):  
Essex Lopresti

Treatment Recommendations for Suspected Scapholunate Ligament Pathology

2021 ◽  
Author(s):  
Daniel Bakker ◽  
Joost T.P. Kortlever ◽  
Gerald A. Kraan ◽  
Nina Mathijssen ◽  
Joost W. Colaris ◽  
...  
Keyword(s):  
Interobserver Reliability ◽  
Treatment Recommendations ◽  
Wrist Pain ◽  
Wrist Arthroscopy ◽  
Level Of Evidence ◽  
Interosseous Ligament ◽  
Recent Onset ◽  
Diagnostic Arthroscopy ◽  
Reconstructive Option

Abstract Background The diagnosis and treatment of scapholunate interosseous ligament (SLIL) pathology is debated and notably variable. This study assessed the influence of diagnostic arthroscopy on treatment recommendations and the interobserver reliability of the arthroscopic classification of SLIL pathology. Methods The influence of diagnostic arthroscopy on treatment recommendations and the reliability of the arthroscopic classification of SLIL pathology were tested in a survey-based experiment. Seventy-seven surgeons evaluated 16 scenarios of people with wrist pain with variation in symptoms, scaphoid shift, time of symptom onset, and MRI appearance of the SLIL. Participants were randomized to view or not to view diagnostic wrist arthroscopy. Factors associated with recommendation for repair, capsulodesis, or tenodesis were analyzed. Results Viewing arthroscopic videos was associated with both offering surgery and a more reconstructive option. Other factors independently associated with recommendation for surgery included greater pain intensity and activity intolerance, women surgeons, an asymmetric scaphoid shift, and a recent onset of symptoms. The interobserver reliability of SLIL classification was slight. Conclusions Diagnostic arthroscopy leads to more surgery, and more invasive surgery, in spite of unreliable assessment of pathology. Clinical Relevance This points to the need to measure the potential benefits and harms of diagnostic wrist arthroscopy among people with wrist pain and no clear diagnosis on interview, examination, and radiographs. Level of Evidence Not applicable.

Characterization of In Situ Elongation in the Interosseous Ligament of the Forearm

2000 ◽  
Author(s):  
Mary Gabriel ◽  
Kathryne Stabile ◽  
Jamie Pfaeffle ◽  
Matthew Tomaino ◽  
Kenneth Fischer
Keyword(s):  
Strain Distribution ◽  
Normal Function ◽  
Joint Position ◽  
Important Data ◽  
Interosseous Ligament ◽  
Functional Reconstruction ◽  
Injury Mechanisms

Abstract For most ligaments, the strains vary spatially and depend upon joint position. Quantifying the distribution of strain in ligaments is necessary to understand their normal function and their injury mechanisms. In addition, the strain distribution is important data for developing functional reconstruction techniques.

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