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The Essex-Lopresti lesion
K Wegmann1, J Dargel, K J Burkhart
1Klinik und Poliklinik für Orthopädie und Unfallchirurgie, Universitsklinikum Köln, Kerpener Straße 62, 50937, Cologne, Germany, kilian.wegmann@uk-koeln.de.
Strategies in Trauma and Limb Reconstruction
|October 26, 2012
Summary
The Essex-Lopresti lesion is a severe forearm injury involving the radial head, interosseous membrane, and distal radioulnar joint. Early diagnosis and imaging are crucial, as current treatments for this complex injury remain insufficient.
Area of Science:
- Orthopedic Surgery
- Anatomy
- Biomechanics
Background:
- The Essex-Lopresti lesion is a complex forearm injury with historical recognition.
- Pathophysiology has been elucidated through detailed analysis of involved structures.
Purpose of the Study:
- To detail the anatomical structures and biomechanical factors contributing to forearm stability.
- To emphasize the importance of diagnosing the Essex-Lopresti lesion and its increasing prevalence.
- To review current treatment options for this severe injury.
Main Methods:
- Review of historical and current literature on forearm anatomy and biomechanics.
- Analysis of the role of the radial head, interosseous membrane, and distal radioulnar joint in forearm stability.
- Discussion of diagnostic challenges and treatment outcomes.
Main Results:
- The interosseous membrane and distal radioulnar joint are critical for forearm stability, especially with radial head fractures.
- Injury to these structures leads to radial proximalization and secondary elbow/wrist symptoms.
- The Essex-Lopresti lesion may be underdiagnosed, highlighting the need for vigilant clinical and radiological assessment.
Conclusions:
- Accurate diagnosis of the Essex-Lopresti lesion requires a combination of subtle clinical examination and appropriate imaging.
- Despite available surgical options, treatment efficacy for this severe forearm injury requires further investigation.
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