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Essex-lopresti injuries
Seth D Dodds1, Peter C Yeh, Joseph F Slade
1Department of Orthopaedics and Rehabilitation, Yale University School of Medicine, New Haven, CT 06520, USA. seth.dodds@yale.edu
Hand Clinics
|February 27, 2008
Summary
The Essex-Lopresti injury, a severe forearm joint disruption, is often misdiagnosed. Prompt diagnosis and surgical treatment of the radial head and distal radioulnar joint are crucial for restoring forearm stability and function.
Area of Science:
- Orthopedic Surgery
- Trauma Care
- Anatomy
Background:
- The Essex-Lopresti injury is a complex upper extremity trauma involving radial head fracture, interosseous membrane disruption, and distal radioulnar joint instability.
- This injury pattern results from high-energy trauma, leading to significant forearm joint instability.
Observation:
- Diagnosis of the Essex-Lopresti injury is frequently challenging and often overlooked in emergency settings.
- The injury involves a triad of specific structural failures in the forearm.
Findings:
- Surgical intervention typically addresses the radial head fracture and distal radioulnar joint disruption.
- Treatment aims to restore forearm length and stability.
Implications:
- Untreated or chronic Essex-Lopresti injuries pose significant challenges for physicians.
- Salvage or reconstructive procedures may be necessary to manage pain and restore function in chronic cases.
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