Advertisement

Skeletal Radiology

, Volume 40, Issue 12, pp 1515–1522 | Cite as

The role of ultrasound and magnetic resonance imaging in the evaluation of the forearm interosseous membrane. A review

  • Juan Rodriguez-MartinEmail author
  • Juan Pretell-Mazzini
Review Article

Abstract

The interosseous membrane of the forearm is an important structure to consider in cases of elbow and forearm trauma; it can be injured after elbow or forearm fractures, leading to longitudinal forearm instability. Diagnosis of interosseous membrane injuries is challenging, and failure in diagnosis may result in poor clinical outcomes and complications. Magnetic resonance imaging and ultrasound have shown to be valuable methods for the evaluation of this important structure. Both techniques have advantages and limitations, and its use should be adapted to each specific clinical scenario. This article presents an up-to-date literature review regarding the use of ultrasound and magnetic resonance imaging in the forearm interosseous membrane evaluation.

Keywords

Forearm Interosseous membrane Magnetic resonance Ultrasonography 

Notes

Conflict of interest

The authors declare that they have no conflicts of interest.

References

  1. 1.
    Skahen 3rd JR, Palmer AK, Werner FW, Fortino MD. The interosseous membrane of the forearm: anatomy and function. J Hand Surg Am. 1997;6:981–5.CrossRefGoogle Scholar
  2. 2.
    Davidson PA, Moseley Jr JB, Tullos HS. Radial head fracture. A potentially complex injury. Clin Orthop Relat Res. 1993;297:224–30.Google Scholar
  3. 3.
    Hotchkiss RN, An KN, Sowa DT, Basta S and Weiland AJ. An anatomic and mechanical study of the interosseous membrane of the forearm: pathomechanics of proximal migration of the radius. J Hand Surg [Am] 1989; 256–261.CrossRefGoogle Scholar
  4. 4.
    Rabinowitz RS, Light TR, Havey RM, Gourineni P, Patwardhan AG, Sartori MJ, et al. The role of the interosseous membrane and triangular fibrocartilage complex in forearm stability. J Hand Surg Am. 1994;3:385–93.CrossRefGoogle Scholar
  5. 5.
    Wallace AL, Walsh WR, van Rooijen M, Hughes JS, Sonnabend DH. The interosseous membrane in radio-ulnar dissociation. J Bone Joint Surg Br. 1997;3:422–7.Google Scholar
  6. 6.
    Rodriguez-Martin J, Pretell-Mazzini J, Vidal-Bujanda C. Unusual pattern of Essex–Lopresti injury with negative plain radiographs of the wrist: a case report and literature review. Hand Surg. 2010;1:41–5.CrossRefGoogle Scholar
  7. 7.
    Hotchkiss RN. Injuries to the interosseous ligament of the forearm. Hand Clin. 1994;3:391–8.Google Scholar
  8. 8.
    Marcotte AL, Osterman AL. Longitudinal radioulnar dissociation: identification and treatment of acute and chronic injuries. Hand Clin. 2007;2:195–208.CrossRefGoogle Scholar
  9. 9.
    Skahen 3rd JR, Palmer AK, Werner FW, Fortino MD. Reconstruction of the interosseous membrane of the forearm in cadavers. J Hand Surg Am. 1997;6:986–94.CrossRefGoogle Scholar
  10. 10.
    Stabile KJ, Pfaeffle J, Saris I, Li ZM, Tomaino MM. Structural properties of reconstruction constructs for the interosseous ligament of the forearm. J Hand Surg Am. 2005;2:312–8.CrossRefGoogle Scholar
  11. 11.
    Tejwani SG, Markolf KL, Benhaim P. Graft reconstruction of the interosseous membrane in conjunction with metallic radial head replacement: a cadaveric study. J Hand Surg Am. 2005;2:335–42.CrossRefGoogle Scholar
  12. 12.
    Tejwani SG, Markolf KL, Benhaim P. Reconstruction of the interosseous membrane of the forearm with a graft substitute: a cadaveric study. J Hand Surg Am. 2005;2:326–34.CrossRefGoogle Scholar
  13. 13.
    Tomaino MM, Pfaeffle J, Stabile K, Li ZM. Reconstruction of the interosseous ligament of the forearm reduces load on the radial head in cadavers. J Hand Surg Br. 2003;3:267–70.CrossRefGoogle Scholar
  14. 14.
    Smith AM, Urbanosky LR, Castle JA, Rushing JT, Ruch DS. Radius pull test: predictor of longitudinal forearm instability. J Bone Joint Surg Am. 2002;11:1970–6.CrossRefGoogle Scholar
  15. 15.
    Sowa DT, Hotchkiss RN, Weiland AJ. Symptomatic proximal translation of the radius following radial head resection. Clin Orthop Relat Res. 1995;317:106–13.Google Scholar
  16. 16.
    Failla JM, Jacobson J, van Holsbeeck M. Ultrasound diagnosis and surgical pathology of the torn interosseous membrane in forearm fractures/dislocations. J Hand Surg Am. 1999;2:257–66.Google Scholar
  17. 17.
    Jaakkola JI, Riggans DH, Lourie GM, Lang CJ, Elhassan BT, Rosenthal SJ. Ultrasonography for the evaluation of forearm interosseous membrane disruption in a cadaver model. J Hand Surg Am. 2001;6:1053–7.CrossRefGoogle Scholar
  18. 18.
    Matsuoka J, Beppu M, Nakajima H, Aoki H. Ultrasonography for the interosseous membrane of the forearm. Hand Surg. 2003;2:227–35.CrossRefGoogle Scholar
  19. 19.
    Soubeyrand M, Lafont C, Oberlin C, France W, Maulat I, Degeorges R. The "muscular hernia sign": an original ultrasonographic sign to detect lesions of the forearm’s interosseous membrane. Surg Radiol Anat. 2006;4:372–8.CrossRefGoogle Scholar
  20. 20.
    Fester EW, Murray PM, Sanders TG, Ingari JV, Leyendecker J, Leis HL. The efficacy of magnetic resonance imaging and ultrasound in detecting disruptions of the forearm interosseous membrane: a cadaver study. J Hand Surg Am. 2002;3:418–24.CrossRefGoogle Scholar
  21. 21.
    Hausmann JT, Vekszler G, Breitenseher M, Braunsteiner T, Vecsei V, Gabler C. Mason type-I radial head fractures and interosseous membrane lesions-a prospective study. J Trauma. 2009;2:457–61.CrossRefGoogle Scholar
  22. 22.
    Hodler J, Cotten A, Trudell D, Resnick D. Magnetic resonance imaging of the forearm: cross-sectional anatomy in a cadaveric model. Invest Radiol. 1998;1:6–11.CrossRefGoogle Scholar
  23. 23.
    McGinley JC, Roach N, Gaughan JP, Kozin SH. Forearm interosseous membrane imaging and anatomy. Skeletal Radiol. 2004;10:561–8.Google Scholar
  24. 24.
    McGinley JC, Roach N, Hopgood BC, Limmer K, Kozin SH. Forearm interosseous membrane trauma: MRI diagnostic criteria and injury patterns. Skeletal Radiol. 2006;5:275–81.CrossRefGoogle Scholar
  25. 25.
    Nakamura T, Yabe Y, Horiuchi Y. In vivo MR studies of dynamic changes in the interosseous membrane of the forearm during rotation. J Hand Surg Br. 1999;2:245–8.CrossRefGoogle Scholar
  26. 26.
    Nakamura T, Yabe Y, Horiuchi Y, Seki T, Yamazaki N. Normal kinematics of the interosseous membrane during forearm pronation-supination–a three-dimensional MRI study. Hand Surg. 2000;1:1–10.CrossRefGoogle Scholar
  27. 27.
    Nakamura T, Yabe Y, Horiuchi Y, Yamazaki N. In vivo motion analysis of forearm rotation utilizing magnetic resonance imaging. Clin Biomech (Bristol Avon). 1999;5:315–20.CrossRefGoogle Scholar
  28. 28.
    Nakamura T, Yabe Y, Horiuchi Y, Yamazaki N. Three-dimensional magnetic resonance imaging of the interosseous membrane of forearm: a new method using fuzzy reasoning. Magn Reson Imaging. 1999;3:463–70.CrossRefGoogle Scholar
  29. 29.
    Starch DW, Dabezies EJ. Magnetic resonance imaging of the interosseous membrane of the forearm. J Bone Joint Surg Am. 2001;2:235–8.CrossRefGoogle Scholar
  30. 30.
    Hodler J, Yu JS, Steinert HC, Resnick D. MR imaging versus alternative imaging techniques. Magn Reson Imaging Clin N Am. 1995;4:591–608.Google Scholar
  31. 31.
    Nazarian LN. The top 10 reasons musculoskeletal sonography is an important complementary or alternative technique to MRI. AJR Am J Roentgenol. 2008;6:1621–6.CrossRefGoogle Scholar
  32. 32.
    Noda K, Goto A, Murase T, Sugamoto K, Yoshikawa H, Moritomo H. Interosseous membrane of the forearm: an anatomical study of ligament attachment locations. J Hand Surg Am. 2009;3:415–22.CrossRefGoogle Scholar
  33. 33.
    Markolf KL, Lamey D, Yang S, Meals R, Hotchkiss R. Radioulnar load-sharing in the forearm. A study in cadavera. J Bone Joint Surg Am. 1998;6:879–88.CrossRefGoogle Scholar
  34. 34.
    McGinley JC, D’Addessi L, Sadeghipour K, Kozin SH. Mechanics of the antebrachial interosseous membrane: response to shearing forces. J Hand Surg Am. 2001;4:733–41.CrossRefGoogle Scholar
  35. 35.
    McGinley JC, Kozin SH. Interosseous membrane anatomy and functional mechanics. Clin Orthop Relat Res. 2001;383:108–22.CrossRefGoogle Scholar
  36. 36.
    Rozental TD, Beredjiklian PK, Bozentka DJ. Longitudinal radioulnar dissociation. J Am Acad Orthop Surg. 2003;1:68–73.CrossRefGoogle Scholar
  37. 37.
    Allen GM, Wilson DJ. Ultrasound and the diagnosis of orthopaedic disorders. J Bone Joint Surg Br. 1999;6:944–51.Google Scholar
  38. 38.
    Bianchi S, Martinoli C, Abdelwahab IF. High-frequency ultrasound examination of the wrist and hand. Skeletal Radiol. 1999;3:121–9.CrossRefGoogle Scholar
  39. 39.
    Jacobson JA. Musculoskeletal sonography and MR imaging. A role for both imaging methods. Radiol Clin North Am. 1999;4:713–35.CrossRefGoogle Scholar
  40. 40.
    Zanetti M, Hodler J. Ultrasonography and magnetic resonance tomography (MRI) of tendon injuries. Orthopade. 1995;3:200–8.Google Scholar

Copyright information

© ISS 2011

Authors and Affiliations

  1. 1.Trauma and Orthopaedics, Shoulder and Elbow UnitInfanta Leonor University HospitalMadridSpain
  2. 2.Pediatric Orthopaedic Fellow, Division of Orthopaedic SurgeryThe Children’s Hospital of PhiladelphiaPhiladelphiaUSA

Personalised recommendations