Failure of the Interosseous Membrane to Heal With Immobilization, Pinning of the Distal Radioulnar Joint, and Bipolar Radial Head Replacement in a Case of Essex-Lopresti Injury: Case Report

Gong, Hyun Sik; Chung, Moon Sang; Oh, Joo Han; Lee, Young Ho; Kim, Sae Hoon; Baek, Goo Hyun

doi:10.1016/j.jhsa.2010.03.004

Cited by 23 publications

(18 citation statements)

References 22 publications

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“…Recently, there have been several reports casting doubt on the ability of the torn interosseous membrane to heal by this method [6, 7] especially in the presence of anterior compartment muscle herniation [8]. …”

Section: Discussionmentioning

confidence: 99%

The sequelae of a missed Essex-Lopresti lesion

Thomason

Burkhart

Wegmann

et al. 2013

Strategies in Trauma and Limb Reconstruction

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Radial head fractures are the most common type of elbow fracture in adults. Unrecognised disruption of the intraosseous membrane at the time of injury can lead to severe wrist pain from proximal radial migration especially if the radial head is excised. In this case, despite anatomical reduction and internal fixation of the radial head fracture, longitudinal forearm instability developed after delayed radial head resection was performed 7 months post-injury. A Suave-Kapandji procedure was performed due to ongoing wrist pain. Because of the previous radial head resection, this led to a floating forearm that could only be solved by creating a one-bone forearm, sacrificing all forearm rotation to achieve a stable lever arm between the elbow and wrist joint.

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Section: Discussionmentioning

confidence: 99%

The sequelae of a missed Essex-Lopresti lesion

Thomason

Burkhart

Wegmann

et al. 2013

Strategies in Trauma and Limb Reconstruction

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“…6,21,31,38 However, there is concern that the IOM may not heal properly even if approximated well, possibly due to interposition of muscle. 39 Furthermore, even if USO is performed for ensuing chronic ulnar abutment, the radius may continue to migrate proximally if the IOM is disrupted.…”

Section: Chronicitymentioning

confidence: 99%

Management of the Essex-Lopresti Injury

Matson

Ruch

2016

Jnl Wrist Surg

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Essex-Lopresti injuries (ELIs) are characterized by fracture of the radial head, disruption of the forearm interosseous membrane, and dislocation of the distal radioulnar joint. This injury pattern results in axial and longitudinal instability of the forearm. Initial radiographs may fail to reveal the full extent of the injury, and therefore diagnosis in the acute setting requires a high index of suspicion. Early recognition and treatment are preferred as failure to fully treat the problem may result in chronic wrist pain from ulnar abutment or chronic elbow pain from radiocapitellar arthrosis. In this article the presentation, relevant anatomy, and management options for ELIs are overviewed, and a summary of outcomes reported in the literature is provided. Additionally, the preferred surgical technique of the senior author is presented, which involves reconstruction of the interosseous membrane with a local pronator rerouting autograft.

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“…These attempts at reconstructing the IOM were made because in some cases the IOM fails to heal. (21,22) This may be a result of herniation of the anterior compartment muscles. (18).…”

Section: Current Period (1990-present)mentioning

confidence: 99%

A Historical Perspective on the Essex-Lopresti Injury

McGlinn

Sebastin

Chung³

2013

The Journal of Hand Surgery

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An Essex-Lopresti injury is a fracture of the radial head with concomitant dislocation of the distal radioulnar joint and rupture of the interosseous membrane. Poor outcomes have been associated with this rare injury if the dislocation of the distal radioulnar joint is missed in the acute setting. This injury is named after the British orthopedic surgeon Peter Essex-Lopresti, who made a number of important observations about this injury in 1951. Peter Essex-Lopresti was a promising young surgeon, and his untimely death at the age of 35 brought an early end to a remarkable career. This article investigates the evolution of treatment for this injury and sheds light on the life of the surgeon for whom the injury is named.

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Failure of the Interosseous Membrane to Heal With Immobilization, Pinning of the Distal Radioulnar Joint, and Bipolar Radial Head Replacement in a Case of Essex-Lopresti Injury: Case Report

Cited by 23 publications

References 22 publications

The sequelae of a missed Essex-Lopresti lesion

The sequelae of a missed Essex-Lopresti lesion

Management of the Essex-Lopresti Injury

A Historical Perspective on the Essex-Lopresti Injury

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