A historical perspective on the Essex-Lopresti injury.

J Hand Surg Am

Section of Plastic Surgery, Department of Surgery, The University of Michigan Health System, Ann Arbor, Michigan, USA.

Published: August 2013

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.

Download full-text PDF

Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4157731PMC
http://dx.doi.org/10.1016/j.jhsa.2013.04.031DOI Listing

Publication Analysis

Top Keywords

essex-lopresti injury
8
dislocation distal
8
distal radioulnar
8
radioulnar joint
8
injury named
8
peter essex-lopresti
8
injury
7
historical perspective
4
essex-lopresti
4
perspective essex-lopresti
4

Similar Publications

Background: Open and crushed forearm injury is a complex and rare injury affecting the upper extremity. It results in damage to various structures, including bones, soft tissues, and neurovascular bundles, ultimately leading to functional impairment. Typically, these injuries occur owing to high-energy trauma.

View Article and Find Full Text PDF

Pathophysiology of longitudinal forearm instability (Essex-Lopresti syndrome) and implications for treatment.

Hand Surg Rehabil

December 2024

Service de Chirurgie de la Main et du Membre Supérieur - Chirurgie des Paralysies, CHU LAPEYRONIE, 371, Avenue du Doyen Gaston GIRAUD, 34295 Montpellier cedex, France.

Longitudinal forearm instability, or Essex-Lopresti syndrome, associates radial head fracture and rupture of the structures uniting the 2 bones, mainly the interosseous membrane and triangular fibrocartilage complex adjacent to the distal radioulnar joint. It is often overlooked at first, and should be screened for in case of comminuted radial head fracture without elbow dislocation or instability. Treatment should be prompt, within 4 weeks of trauma, to avoid soft-tissue retraction and hopefully allow healing.

View Article and Find Full Text PDF

Introduction: Selecting the optimal radial head prosthesis to treat radial head fractures, especially in the context of complex elbow injuries like terrible triad, Monteggia, and Essex Lopresti, can be challenging, as there is currently no consensus in the field that favors a particular design. This study investigated the safety and performance of a Polished Stem Radial Head Prosthesis (PS RHP) compared to other modern RHP designs.

Materials And Methods: A systematic review was conducted according to PRISMA guidelines to capture data on a Polished Stem Radial Head Prosthesis (PS RHP) and other Radial Head Prostheses (RHPs).

View Article and Find Full Text PDF

Interosseus Membrane Reconstruction Following a Forearm Injury: A Case Report.

J Wrist Surg

October 2024

Fourth Year Medical Student, College of Osteopathic Medicine, Marian University, Indianapolis, Indiana.

Article Synopsis
  • Essex-Lopresti injuries are complex forearm and elbow injuries that include a radial head fracture and disruptions of the distal radioulnar joint (DRUJ) and interosseous membrane (IOM), often overlooked in diagnosis.
  • A 43-year-old man with multiple injuries underwent surgery where significant IOM disruption was found, leading to a reconstruction that restored joint stability, allowing him to return to work over a year later.
  • The case highlights the critical role of the IOM in maintaining elbow stability and suggests that IOM repair could enhance treatment methods for these complicated injuries, although more studies are needed to confirm this.
View Article and Find Full Text PDF
Article Synopsis
  • * A study conducted at Chettinad Hospital assessed 32 male patients with intra-articular calcaneal fractures over two years, using the AOFAS scoring system to evaluate functional outcomes post-internal fixation.
  • * Results showed an average age of 39 years, with falls being the common cause of injury; the mean hospital stay was about 10 days, while post-surgical measurements indicated significant restoration of heel structure and alignment compared to pre-operative values.
View Article and Find Full Text PDF

Want AI Summaries of new PubMed Abstracts delivered to your In-box?

Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!