Anatomical description of forearm interosseous membrane: A cadaveric study
DOI:
https://doi.org/10.1016/S0120-8845(13)70009-9Keywords:
forearm, ligaments, wrist joint, anatomy, reconstructive surgical procedures, cadaver, evidence level: IVAbstract
Introduction: The Essex-Lopresti injury is characterized by proximal migration of the radius and disruption of theinterosseous membrane. The treatments described for this injury consist of open reduction and internal fixation with osteosynthesis, or replacement of the radius dome plus fixation of distal radioulnar joint. An anatomical reconstruction of the interosseous membrane has been proposed to restore the biomechanical axis of the forearm. The purpose of this study was to define and make measurements of structures comprising the interosseous membrane to obtain anatomical parameters that might help the surgeon to perform a more anatomical surgical reconstruction of this structure.
Materials and methods: An anatomical dissection was performed on 10 fresh human cadaveric forearms, removing all soft tissue to reveal the interosseous membrane. The presence or absence of interosseous structures was recorded, as well as the length and angulation of their related structures.
Results: The interosseous membrane consists of a central band, an interosseous proximal band, and a membranous portion; these structures, along with accessory bands were present in all 10 specimens. The central band had an average length in its proximal and distal aspects of 3.3cm (SD 0.589) and 5.5cm (SD 1.580), respectively; and an angle of 20.4 degrees of the fibers.
Discussion: The interosseous membrane is essential for the transfer of compressive forces in the arm. The results are comparable to those reported in other studies. This study provides information about the normal morphology of the interosseous membrane in order to surgically achieve an anatomical reconstruction of it, as well as allowing the surgeon to take into account its different structures.
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