essex-lopresti-injuries
A 35-year-old man presents after falling from a ladder onto an outstretched hand. Radiographs reveal a comminuted radial head fracture (Mason III). On examination, there is tenderness over the wrist at the distal radioulnar joint (DRUJ). The elbow is stable to valgus stress. The treating surgeon is concerned about an Essex-Lopresti injury. Regarding the diagnosis and pathoanatomy of Essex-Lopresti injuries:
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An Essex-Lopresti injury consists of a radial head fracture with disruption of the interosseous memb...
The central band of the interosseous membrane is the primary stabilizer of longitudinal forearm stab...
Essex-Lopresti injuries are easily diagnosed at initial presentation; the DRUJ injury is always clin...
Clinical examination should include assessment of wrist tenderness (DRUJ), DRUJ stability (piano key...
The radial head acts as a secondary stabilizer of longitudinal forearm stability; in the presence of...
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