Essex Lopresti Injury
| Classification according to ICD-10 | |
|---|---|
| S52.7 | Multiple fractures of the forearm |
| ICD-10 online (WHO version 2019) | |
The Essex-Lopresti injury is a relatively rare combination injury on the human forearm, consisting of a proximal fracture of the spoke near the elbow, usually as a radius head or neck fracture, a complete tear of the interosseous membrane and a subluxation of the ulna further away Ellen-spoke joint (distal radioulnar joint). It was first described in 1951 by the trauma surgeon Peter Essex-Lopresti on the basis of two cases.
The mechanism of an accident is a large axial force acting on the almost outstretched forearm. In most cases, the injury to the radial head predominates clinically, so that the involvement of the distal end of the ulna is usually overlooked during the initial examination. The complex injury often leads to poor treatment outcomes.
Therapy is the restoration of the joint between humerus and radius (humeroradial) as by radial head prosthesis and the reduction and fixation of the distal radioulnar joint by should Kirschner wire - osteosynthesis be followed by six weeks of plaster or cast treatment, from which are moved can (full flexion and extension but no prolination or supination).
literature
- Thomas P. Rüedi et al: AO principles of fracture management. 2nd Edition. Thieme, 2007, ISBN 978-3-13-117442-0 .
Original publication
- P. Essex-Lopresti: Fractures of the radial head with distal radio-ulnar dislocation: report of two cases. In: J Bone Joint Surg [Br]. 1951; 33, pp. 244-247. PMID 14832324
