essex lopresti

Background

Anatomy

 

3 facets

 

1.  Posterior facet (STJ)

2.  Middle facet (sustenaculum tali)

3.  Anterior facet (on distal medial aspect)

 

Anterior process 

- forms calcaneocuboid (CCJ) articulation

 

Thalamic portion 

- under lateral process talus

 

Tuberosities

 

Posterior tuberosity 

- posterior process / T Achilles attachment

 

Radial head fractures

Radial Head Fracture

 

Mechanism

 

FOOSH

- axial load with a valgus force

 

Biomechanics

 

1.  Provides Valgus stability

- especially if MCL deficient

 

2.  Longitudinal stability

- aided by interosseous membrane

 

3.  Load Transfer

- 60% of load at elbow