The crisscross injury mechanism in forearm injuries

Leung, Y. F.; Ip, S. P. S.; Ip, W. Y.; Kam, W. L.; Wai, Y. L.
June 2005
Archives of Orthopaedic & Trauma Surgery;Jun2005, Vol. 125 Issue 5, p298
Academic Journal
journal article
Introduction: A new mechanism of injury of the forearm bones, crisscross injury, is described. It is more common than the Essex-Lopresti fracture dislocation. The old concept of isolated injury of one side of the radioulnar joint may be challenged. It often occurs in Mason type II fracture dislocation of the radial head or dislocation of radioulnar joints. Materials and Methods: The first part was a cadaveric study of the crisscross injury of forearms. The second part was a clinical study of the crisscross injury in some cases of Mason type II fracture radial head and double dislocation of the radioulnar joint. Results: The cadaveric study confirmed a stable crisscross fracture dislocation injury with intact interosseous membrane. The clinical study echoed the presence of this injury by imaging techniques. Conclusion: The crisscross injury mechanism explains the mirror pathogenesis of the traumatic fracture dislocation of the distal and proximal radioulnar joints with intact shaft of the radius and ulna. Co-existing subluxation or dislocation of the other radioulnar articulation must not be overlooked in cases of fracture dislocation of one radioulnar joint. Two types of crisscross injury of forearm bones are proposed.


Related Articles

  • Conservative Management of Superior Subluxation of the First Rib. Kamkar, Abdulazeem; Cardi-Laurent, Candice; Whitney, Susan L. // Journal of Sport Rehabilitation;Nov1992, Vol. 1 Issue 4, p300 

    First rib subluxation is one possible cause of neck, shoulder, and arm pain. The anatomy and biomechanics of the first rib contribute to its tendency to sublux superiorly. Management of first rib subluxation may include manipulative therapy, therapeutic exercises, pharmaceutical agents, and...

  • Long-term results following pediatric distal forearm fractures. Zimmermann, Robert; Gschwentner, Martin; Kralinger, Franz; Arora, Rohit; Gabl, Markus; Pechlaner, Sigurd // Archives of Orthopaedic & Trauma Surgery;Apr2004, Vol. 124 Issue 3, p179 

    Introduction. The purpose of this retrospective study was to investigate the frequency and extent of clinical and radiological late sequelae and to identify predicting factors. Materials and methods. A total of 220 patients of growing age with 232 closed, conservatively treated fractures were...

  • A simple and safe technique for reconstruction of the acromioclavicular joint. Rushton, Paul R. P.; Gray, James M.; Cresswell, Tim // International Journal of Shoulder Surgery;Jan/Mar2010, Vol. 4 Issue 1, p15 

    Surgical reconstruction of the dislocated acromioclavicular joint often requires exposure and instrumentation of the coracoid. This carries risks to the surrounding neurovascular structures. We present a safe and simple technique of primary fixation of the acromioclavicular joint, relying on...

  • Lisfranc's fracture dislocation. Epidemiological study and results at the General Hospital in Mexico. Enríquez Castro, José Antonio; Valero, Atanasio López; Hernández, Antonio García; González T., Adrián; Ventura, Marco A.; Soto R., Valente // Acta Ortopedica Mexicana;ene/feb2005 Supplement, Vol. 19, pS38 

    Introduction. Lisfranc's fracture dislocation has been reported as an uncommon lesion. However, there is no agreement on this, as some claim that about 20% of cases go unnoticed, especially in patients with multiple trauma. Material and Methods. We conducted an ambispective study from 1998 to...

  • Base of coracoid process fracture with acromioclavicular dislocation in a child. Jettoo, Prithee; de Kiewiet, Gavin; England, Simon // Journal of Orthopaedic Surgery & Research;2010, Vol. 5, p77 

    Fracture of the coracoid process is a rare injury. It can be easily missed when associated with other injuries to the shoulder girdle, for instance, acromioclavicular joint (ACJ) dislocation. Clinical attention is easily drawn to the more obvious ACJ dislocation, hence, the need for further...

  • The 'mirrored' Bennett fracture of the base of the fifth metacarpal. Goedkoop, A. Y.; van Onselen, E. B. H.; Karim, R. B.; Hage, J. J.; van Onselen, E B // Archives of Orthopaedic & Trauma Surgery;Oct2000, Vol. 120 Issue 10, p592 

    Fractures of the base of the metacarpals are usually treated conservatively. The intra-articular fracture of the base of the first metacarpal ('Bennett fracture') is an exception to this rule because inadequate repositioning and fixation of the dislocated radial fragment lead to permanent...

  • Open Dislocation of the Knee with Draining Urine. Peterson, Blake E.; Murtha, Yvonne M.; Crist, Brett D. // Case Connector;2013, Vol. 3 Issue 1, p1 

    The article presents a case study of a 23-year-old man was involved in a traffic accident and sustained a pelvic ring injury with extraperitoneal bladder rupture as well as an open dislocation of the knee that drained extravasated urine. The patient had a Glasgow Coma Score of 15 with stable...

  • Arthroscopically assisted coracoclavicular ligament reconstruction for chronic acromioclavicular joint instability. Scheibel, Markus; Ifesanya, Adeleke; Pauly, Stephan; Haas, Norbert P. // Archives of Orthopaedic & Trauma Surgery;Nov2008, Vol. 128 Issue 11, p1327 

    The treatment of symptomatic chronic acromioclavicular joint dislocations can be challenging. Different surgical procedures have been described in the literature. We present an arthroscopically assisted stabilization using a gracilis tendon transclavicular-transcoracoid loop technique augmented...

  • Irreducible open dorsal dislocation of the proximal interphalangeal joint. Takami, H.; Takahashi, Sadao; Ando, Masashi; Takahashi, S; Ando, M // Archives of Orthopaedic & Trauma Surgery;Apr2001, Vol. 121 Issue 4, p232 

    Dislocations of the proximal interphalangeal joint rarely present a problem in reduction. We report a case of dorsal dislocation in which attempts at reduction by manipulation were not successful. A probable mechanism is discussed. In most cases of such injury, the flexor tendons should be...


Read the Article


Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics