Problems of Eponymous Proportions: The History Behind Recognizing Forearm Instability Issues

Abstract

Three predictable patterns of forearm fracture-dislocation-Essex-Lopresti, Monteggia, and Galeazzi-can occur and are eponymously labeled for the investigators who appreciated their unique characteristics and offered a framework by which to understand them. Recognition of these injuries and subsequent investigation and increased understanding of these lesions have resulted in improved understanding about forearm anatomy and stability. Management of the component of instability differs based on the type of fracture-dislocation, the timing of intervention, and surgeon preference. Despite advances in understanding and treating these injuries, nuances of these lesions may remain challenging to modern-day surgeons.

Keywords: Essex-Lopresti; Forearm instability; Galeazzi; Interosseous membrane; Longitudinal radioulnar dissociation; Monteggia; Piedmont fracture; “Fracture of necessity”.