Essex-Lopresti Fracture-Dislocation: Report of a Rare Case

Essex-Lopresti骨折併脫位：罕見病例報告

徐宗成(Tzong-Cheng Shyu)；江堯錚(Yao-Tzeng Chiao)；黃其權(Chi-Chuan Huang)；喻興甯(Hsing-Ning Yu)；趙泰宏(Tai-Hung Chao)；林聰穎(Tsung-Ying Lin)

Essex-Lopresti ； 遠端橈尺骨關節 ； 橈骨頭 ； 骨間膜 ； 骨折－脫位 ； essex-lopresti ； distal radioulnar joint ； radial head ； interosseous membrane ； fracture-dislocation

Journal of Emergency Medicine, Taiwan

7卷1期（2005 / 03 / 01）

35 - 42

英文

我們報告一稀少病例為手外張受傷情況下，造成遠端橈尺骨關節脫位，骨間膜撕裂合併橈骨頭骨折脫位。遠端橈尺骨關節疼痛合併橈骨頭或頸部移位性骨折應該警示醫師這受傷病例為此病例報告之可能。合併開放性復位併僥骨頭內固定及內固定遠端橈尺骨關節可以使骨間膜有機會癒合，並且使前臂穩定。術後二個月，疼痛緩解後，就開始活動範圍，六個月之後就達功能性程度。

We present a rare case of a patient with a distal radioulnar joint (DRUJ) dislocation, tear of the interosseous membrane (IOM) and a fracture-dislocation of the radial head after trauma of the extended hand. Pain in the distal radioulnar joint with a displaced fracture of the radial head or neck should alert the doctor to the possibility of this injury combination. The combined open reduction/internal fixation of the radial head with the closed reduction/internal fixation of the DRUJ allowed the IOM to have a chance to heal and gave stability to the forearm. Two months postoperatively, range of motion exercises were started once there was pain relief and there was a return to a good functional level after six months.