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Management of the Essex-Lopresti Injury.

Publication ,  Journal Article
Matson, AP; Ruch, DS
Published in: J Wrist Surg
August 2016

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.

Duke Scholars

Published In

J Wrist Surg

DOI

ISSN

2163-3916

Publication Date

August 2016

Volume

5

Issue

3

Start / End Page

172 / 178

Location

United States

Related Subject Headings

  • 3202 Clinical sciences
 

Citation

APA
Chicago
ICMJE
MLA
NLM
Matson, A. P., & Ruch, D. S. (2016). Management of the Essex-Lopresti Injury. J Wrist Surg, 5(3), 172–178. https://doi.org/10.1055/s-0036-1584544
Matson, Andrew P., and David S. Ruch. “Management of the Essex-Lopresti Injury.J Wrist Surg 5, no. 3 (August 2016): 172–78. https://doi.org/10.1055/s-0036-1584544.
Matson AP, Ruch DS. Management of the Essex-Lopresti Injury. J Wrist Surg. 2016 Aug;5(3):172–8.
Matson, Andrew P., and David S. Ruch. “Management of the Essex-Lopresti Injury.J Wrist Surg, vol. 5, no. 3, Aug. 2016, pp. 172–78. Pubmed, doi:10.1055/s-0036-1584544.
Matson AP, Ruch DS. Management of the Essex-Lopresti Injury. J Wrist Surg. 2016 Aug;5(3):172–178.
Journal cover image

Published In

J Wrist Surg

DOI

ISSN

2163-3916

Publication Date

August 2016

Volume

5

Issue

3

Start / End Page

172 / 178

Location

United States

Related Subject Headings

  • 3202 Clinical sciences