The interosseous membrane (IOM) links the ulna and the radius and acts as an extrinsic ligament, assisting the proximal radioulnar joint (PRUJ) and distal radioulnar joint (DRUJ) ligaments. It checks dissociating forces, transmits forces from one forearm bone to the other, and coordinates loading forces. The anterior plane of descending fibers from the radius checks the proximal displacement of this bone. Intermediate descending fibers are the strongest. The posterior plane, with ascending fibers from the radius, checks its proximal displacement. An early repair of a torn IOM is feasible and should be performed. This can be associated with an augmentation procedure.
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Gait Posture
January 2025
Department of Orthopaedics, BC Children's Hospital, 4500 Oak St, Vancouver, BC V6H 3N1, Canada; The Motion Lab, Sunny Hill Health Centre, 4480 Oak St, Vancouver, BC V6H 3N1, Canada; University of British Columbia, Faculty of Medicine, Department of Orthopaedics, 317 - 2194 Health Sciences Mall, Vancouver, BC V6T 1Z3, Canada.
Background: Split tendon transfer of the posterior tibialis (SPOTT) is a surgical procedure in which the split posterior tibialis tendon is transferred posterior to the fibula (PO) with insertion on the peroneus brevis tendon to rebalance the forces across the hindfoot. Routing of the split tendon through the interosseous membrane (IO) is a variation with the potential benefit of augmenting ankle dorsiflexion in swing.
Research Question: Does IO routing improve ankle dorsiflexion in swing and/or varus in stance compared to PO routing?
Methods: A retrospective chart review was completed to identify forty-two patients who underwent a SPOTT procedure for equinovarus foot deformity.
J Med Case Rep
December 2024
Department of Hand & Reconstructive Microsurgery Surgery, Rashid Hospital, Dubai, United Arab Emirates.
Background: Open and crushed forearm injury is a complex and rare injury affecting the upper extremity. It results in damage to various structures, including bones, soft tissues, and neurovascular bundles, ultimately leading to functional impairment. Typically, these injuries occur owing to high-energy trauma.
View Article and Find Full Text PDFInt J Surg Case Rep
January 2025
Orthopedic Department, La Rabta Hospital, Tunis 1007, Tunisia.
Introduction And Importance: Ipsilateral proximal and distal radius fractures without elbow dislocation are extremely rare injuries and a few cases have been reported. Currently, there is no well-established consensus regarding their optimal management.
Case Presentation: We report the case of a 57-year-old woman who had a right bipolar radius fracture after falling from a standing height.
An unstable distal radioulnar joint can cause ulnar-sided wrist pain. Stability of the distal radioulnar joint, which varies among individuals, is dependent on the bony structure of the sigmoid notch and the surrounding soft tissues, such as the interosseous membrane, the extensor carpi ulnaris tendon, the pronator quadratus, and the deep radioulnar ligaments. In particular, avulsions of the deep radioulnar ligaments lead to instability and disturbed wrist proprioception.
View Article and Find Full Text PDFAnn Anat
February 2025
Department of Surgery, McGill University, Quebec, Montreal, Canada.
Background: Wrist osteoarthritis poses significant challenges in pain management and functional impairment. Current surgical interventions often sacrifice wrist motion and entail long recovery times. Minimally invasive denervation offers a promising alternative by targeting sensory nerves.
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