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Review
. 2024 Sep 1;38(9S):S11-S14.
doi: 10.1097/BOT.0000000000002857.

The Essex-Lopresti Injury

Affiliations
Review

The Essex-Lopresti Injury

John J Heifner et al. J Orthop Trauma. .

Abstract

The classic Essex-Lopresti injury (ELI) pattern is a radial head fracture and disruption of the central band, which compromises the longitudinal radioulnar relationship. Delayed recognition and inappropriate treatment of ELI can be devasting to a patient's function. The recent literature has demonstrated an improved understanding of the mechanism of ELI. This has facilitated early diagnosis, appropriate treatment, and compelling outcomes. Further investigation will contribute to the standardization of treatment methods and algorithms for concomitant injury.

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Conflict of interest statement

R. Gray discloses a speaker's bureau and consulting relationship with Skeletal Dynamics. J. J. Heifner reports no conflict of interest.

References

    1. Artiaco S, Fusini F, Colzani G, et al. Chronic Essex-Lopresti injury: a systematic review of current treatment options. Int Orthop. 2019;43:1413–1420.
    1. Kooistra B, van den Bekerom M, Priester-Vink S, et al. Defining acute Essex-Lopresti injuries is problematic and variable: a systematic review. EFORT Open Rev. 2022;7:727–733.
    1. Fontana M, Cavallo M, Bettelli G, et al. Diagnosis and treatment of acute Essex-Lopresti injury: focus on terminology and review of literature. BMC Musculoskelet Disord. 2018;19:312.
    1. McGinley JC, Kozin SH. Interosseous membrane anatomy and functional mechanics. Clin Orthop Relat Res. 2001;383:108–122.
    1. Stevenson JD, Radesh L, Pickard S, et al. Falsely reassuring magnetic resonance imaging appearance of the forearm interosseous membrane following an Essex-Lopresti injury: does it ever completely heal? Shoulder Elb. 2010;2:287–290.

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