Essex Lopresti Fracture (or Injury)

AcrossPG at 1.4.13

Essex Lopresti Fracture consists of injury to radial head, interosseous ligament or membrane of the forearm and distal radio ulnar joint.

The injury has following elements

Comminuted displacedlaced fracture of the radial head
Subluxation or dislocation of the distal radioulnar joint.
Disruption of the interosseous membrane occurs.

In addition, there could be proximal migration of the radial shaft. The extent of migration depends on the severity of the injury and amount of disruption of interossous membrane.

This injury can result from a fracture-dislocation of the elbow or from application of a longitudinal force to the outstretched hand that causes impaction of the capitulum and radial head.

The treatment consists of management of both the fractures.

Image Curtsy: http://learningradiology.com

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