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Case Reports
. 2022 Aug 8;6(8):e22.00042.
doi: 10.5435/JAAOSGlobal-D-22-00042. eCollection 2022 Aug 1.

Concomitant Fracture Radial Head and Shaft With Dislocation of the Distal Radioulnar Joint: A Rare Variant of the Essex-Lopresti Lesion

Rajiv Kaul  1 , Chetan Sood, Neha Akhoon
Affiliations
Case Reports

Concomitant Fracture Radial Head and Shaft With Dislocation of the Distal Radioulnar Joint: A Rare Variant of the Essex-Lopresti Lesion

Rajiv Kaul et al. J Am Acad Orthop Surg Glob Res Rev. .

Abstract

The Essex-Lopresti lesion is a challenging injury both for diagnosis and management. These often tend to be missed, resulting in incapacitating pain and joint stiffness despite treatment. In rare circumstances, they may occur in association with other injuries of the forearm or elbow. We describe an atypical Essex-Lopresti variant comprising a radial head and shaft fracture with an associated distal radioulnar joint dislocation in a 36-year-old man.

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Conflict of interest statement

None of the following authors or any immediate family member has received anything of value from or has stock or stock options held in a commercial company or institution related directly or indirectly to the subject of this article: Dr. Kaul, Dr. Sood, and Dr. Akhoon.

Figures

Figure 1
Figure 1
A, Preoperative radiographs showing the anteroposterior view. B, Preoperative radiographs showing the lateral view.
Figure 2
Figure 2
Intraoperative images before and after fixation of the radial shaft.
Figure 3
Figure 3
Image demonstrating the ballottement test for stability of the distal radioulnar joint.
Figure 4
Figure 4
Image showing double endobutton suspensory construct using a double suture loop.
Figure 5
Figure 5
Images showing a partially excised radial head.
Figure 6
Figure 6
Postoperative radiographs showing anteroposterior and lateral views.
Figure 7
Figure 7
Images demonstrating functional range of motion at 18 months.
Figure 8
Figure 8
Eighteen-month follow-up radiographs showing anteroposterior and lateral views.
See this image and copyright information in PMC

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References

    1. Curr JF, Coe WA: Dislocation of the inferior radio-ulnar joint. Br J Surg 1946;34:74-77. - PubMed
    1. Essex-Lopresti P: Fractures of the radial head with radio-ulnar dislocation: Report of two cases. J Bone Joint Surg Br 1951;33-B:244-247. - PubMed
    1. Galeazzi R: Di una particolare syndrome traumatica dello scheletro dell' avambraccio [Italian]. Atti Mem Soc Lombardi Chir 1934;2:12-15.
    1. Galeazzi R: Uber eim besonderes syndrom bei Verltzunger in Breich der unterarmknochen [German]. Arch Orthop Unfallchir 1934;35:557-562.
    1. Jungbluth P, Frangen TM, Arens S, Muhr G, Kälicke T: The undiagnosed Essex-Lopresti injury. J Bone Joint Surg Br 2006;8812:1629-1633. - PubMed

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