Essex-Lopresti fracture

The Essex - Lopresti injury is a relatively rare combination injury in the human forearm, consisting of a proximal ( proximal ) fracture of the radius near the elbow, usually as a radial head or radial neck fracture, a complete rupture of the interosseous membrane and a subluxation of the ulna in the distal Ellen -spoke joint ( DRUJ ). It was first described in 1951 by the trauma surgeon Peter Essex - Lopresti basis of two cases.

Accident mechanism is a large axial force acts on the almost extended forearm. Most clinically outweighs the injury to the radial head, so that the involvement of the distal Ulnaendes is often overlooked during the initial examination. The complex injury often leads to poor treatment outcomes.

Therapy should be the restoration of the joint between the humerus and ulna ( radiohumeral ) be about means of radial head prosthesis and reduction, fixation of the distal radioulnar joint by Kirschner wire fixation followed by six weeks of plaster or cast treatment may be moved from the out ( full flexion and extension but not Pro or supination ).