Essex-Lopresti损伤的治疗进展  

Research progress in treatment of Essex-Lopresti lesion

作　　者：何凌峰 陈红卫[1] He Lingfeng;Chen Hongwei.(Department of Orthopedics, Zhejiang Provincial Yiwu Central Hospital, Yiwu 322000, Chin)

机构地区：[1]义乌市中心医院骨科,浙江省义乌市322000

出　　处：《中华创伤杂志》2018年第6期569-572,共4页Chinese Journal of Trauma

基　　金：浙江省科技厅项目（2013C33216）;浙江省卫生厅项目（2014KYB296）;义乌市高层次人才科研项目（201603）

摘　　要：Essex—Lopresti损伤指桡骨头骨折合并前臂骨间膜撕裂和下尺桡关节脱位，伤情比较严重且罕见，容易漏诊。无论采用何种治疗方法，陈旧性Essex—Lopresti损伤的治疗效果均较差。因此，早期、正确的诊断对Essex—Lopresti损伤的临床疗效至关重要。急性Essex—Lopresti损伤的治疗关键是重建桡骨头，恢复桡骨长度，防止桡骨向近端移动，同时复位和稳定下尺桡关节，修复三角纤维软骨复合体，从而恢复尺桡骨正常解剖关系，重建前臂纵向稳定，以提高临床疗效。而对于前臂骨间膜是否需要修复及修复方法的选择仍需进一步的研究。笔者就Essex—Lopresti损伤的治疗方法作一综述，以期更好地为临床治疗提供帮助。The Essex-Lopresti lesion is characterized by a fracture of the radial head with concomitant rupture of the interosseous membrane and disruption of the distal radioulnar joint. The Essex- Lopresti lesion is rare and serious, easily subject to missed diagnosis. However, all sorts of therapeutic methods can only yield poor results for chronic Essex-Lopresti lesion. Therefore, early and accurate diagnosis is crucial. The key to treat acute Essex-Lopresti lesion is the reconstruction of radial head and restoration of radius length, preventing the proximal move of radius. At the same time, the distal radioulnar joint should be reset and stablized, and the triangular fibrocartilage complex（TFCC） repaired, so as to restore the normal anatomic relation between radiu and ulna and to reconstruct forearm longitudinal stability. Further studies are needed on whether the forearm interosseous membrane needs repair as well as on repair method selection. The author reviews the Essex-Lopresti injury treatment methods in order to facilitate better clinical treatment.

关 键 词：桡骨骨折 脱位 ESSEX-LOPRESTI损伤 

分 类 号：R687.3[医药卫生—骨科学]