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DOI: 10.1055/s-0030-1268481
© Georg Thieme Verlag KG Stuttgart · New York
Die Kombination einer Ulnakopffraktur mit einer undislozierten Radiushalsfraktur: Fallbericht und Literaturübersicht
Combination of Ulnar Head Fracture with Undisplaced Radial Neck Fracture: Case Report and Review of the LiteraturePublication History
eingereicht 15.04.2009
akzeptiert 24.10.2010
Publication Date:
10 January 2011 (online)
Zusammenfassung
Wir berichten über die unseres Wissens bis dato nicht beschriebene Kombination einer dislozierten Ulnakopf- mit einer undislozierten Radiushalsfraktur einhergehend mit einer klinischen Instabilität des distalen Radioulnargelenkes (DRUG). Wir besprechen die Behandlung unseres atypischen Falles und stellen eine Literaturübersicht dar.
Abstract
We present a case of a to our knowledge never described before combination of a displaced ulnar head- with an undisplaced radial neck fracture associated with a clinical instability of the distal radioulnar joint (DRUJ). We discuss the management of our atypical case and review the literature.
Schlüsselwörter
distales Radioulnargelenk - Essex-Lopresti-Verletzung - „criss-cross injury”
Key words
distal radioulnar joint - Essex-Lopresti injury - “criss-cross injury”
Literatur
- 1 Bruckner JD, Alexander AH, Lichtman DM. Acute dislocations of the distal radioulnar joint. Instr Course Lect. 1996; 45 27-36
- 2 Nicolaidis SC, Hildreth DH, Lichtman DM. Acute injuries of the distal radioulnar joint. Hand Clin. 2000; 16 449-459
- 3 Stoffelen D, Fortems Y, De Smet L. et al . Dislocation of the distal radioulnar joint associated with a transstyloid radiocarpal fracture dislocation. A case report and review of the literature. Acta Orthop Belg. 1996; 62 52-55
- 4 Essex-Lopresti P. Fractures of the radial head with distal radio-ulnar dislocation. Report of two cases. J Bone Joint Surg [Br]. 1951; 33 244-247
- 5 Leung YF, Ip SP, Ip WY. et al . The crisscross injury mechanism in forearm injuries. Arch Orthop Trauma Surg. 2005; 125 298-303
- 6 McGinley JC, Hopgood BC, Gaughan JP. et al . Forearm and elbow injury: the influence of rotational position. J Bone Joint Surg [Am]. 2003; 85 2403-2409
- 7 Auyeung J, Broome G. The Essex-Lopresti lesion: a variant with a bony distal radioulnar joint injury. J Hand Surg [Br]. 2006; 31 206-207
- 8 Mino DE, Palmer AK, Levinsohn EM. The role of radiography and computerized tomogaphy in the diagnosis of subluxation and dislocation of the distal radioulnar joint. J Hand Surg [Am]. 1983; 8 23-31
- 9 Braun H, Kenn W, Schneider S. et al . Direct MR arthrography of the wrist-value in detecting complete and partial defects of intrinsic ligaments and the TFCC in comparison with arthroscopy. Rofo. 2003; 175 1515-1524
- 10 Schmitt R, Christopoulos G, Meier R. et al . Direct MR arthrography of the wrist in comparison with arthroscopy: a prospective study on 125 patients. Rofo. 2003; 175 911-919
Korrespondenzadresse
Dr. Philippe Zermatten
Abteilung für Orthopädische
Chirurgie und Traumatologie
Centre Hospitalier du Centre
du Valais
Av. Gd-Champsec 80
1950 Sitten
Schweiz
Email: philippe.zermatten@hopitalvs.ch