Semitendinosus ligamentoplasty of the forearm interosseous membrane in a case of Essex-Lopresti syndrome

Oberlin, Christophe; Belkheyar, Zoubir; Soubeyrand, Marc; Welby, France; Degeorges, Renaud
June 2006
European Journal of Orthopaedic Surgery & Traumatology;Jun2006, Vol. 16 Issue 2, p164
Academic Journal
The case of a 39-year-old patient with an Essex-Lopresti syndrome is reported. The radial head fracture was comminuted and the distal radio-ulnar joint was dislocated. The patient underwent an orthopaedic treatment and a 7-month long rehabilitation. Motions were assessed with 20–140° elbow flexion, 0° supination, 40° pronation, 40° wrist flexion, and 45° extension wrist. Jamar® measurement was 18 kg (40 kg for the opposite limb). X-rays displayed a radial ascension with an ulno-carpal impingement syndrome. Surgical procedures were a shortening of the ulna, a radial head arthroplasty, and a ligamentoplasty using the semi-tendinous muscle. Two months after surgery, the patient worked again. The last follow-up was 13 months after surgery. Motions were assessed with 30–130° elbow flexion, 45° supination, and 60° pronation. Jamar® measurement was 40 kg (50 kg for the opposite limb), with a painless forearm or wrist. Our technique of ligamentoplasty is original, with the type and the course of the transplant. Its indications would be in radial head lesions associated with a longitudinal forearm instability. The ligamentoplasty would prevent from overloads of radial head osteosyntheses or arthroplasties.


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