Tag Rick Tosti

Orthopedics

Technique Spotlight: Interosseous Membrane Reconstruction

Indications The primary indication to reconstruct the interosseous membrane (IOM) is a longitudinal radioulnar dissociation also known as an Essex-Lopresti injury (ELI). An ELI is an injury triad involving fracture of the radial head, rupture of the interosseous ligaments, and…

Skeletal Trauma of the Upper Extremity
February 24, 2024

Orthopedics

Essex-Lopresti—When Do All Three Levels Require Attention?

History Although the eponym for forearm longitudinal instability is known as Essex-Lopresti, Dr. Peter Essex-Lopresti was not the first person who reported the injury. It was first described by Brockman in 1931. Curr and Coe later reported on a case…

Skeletal Trauma of the Upper Extremity
February 24, 2024

Orthopedics

Acute Distal Radioulnar Joint Instability

Key Points All fractures of the distal radius should be evaluated with a physical exam to test for concurrent instability at the distal radioulnar joint. Radiographs that show excessive radial shortening, widening at the distal radioulnar joint, or a large…

Distal Radius Fractures
January 27, 2024