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Erschienen in: Skeletal Radiology 3/2018

01.03.2018 | Case Report

An uncommon variant of the Essex-Lopresti injury

verfasst von: Mohamed Ali Kedous, Ahmed Msakni, Wael Chebbi, Mourad Zaraa, Mondher Mbarek

Erschienen in: Skeletal Radiology | Ausgabe 3/2018

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Abstract

The Essex-Lopresti injury is an extremely rare condition combining radial head or neck fracture, distal radio-ulnar joint dislocation and rupture of the interosseous membrane. However, there are rare or unusual varieties or associated injuries. We report a case of a 46-year-old woman with a posterior dislocation of the radio-humeral joint, a radial shaft fracture, and a distal radio-ulnar joint dislocation. She underwent open reduction and internal fixation of the radial shaft fracture followed by an immobilization by a long elbow splint in supination for 6 weeks. At 18 months of follow-up, she was asymptomatic and she had a full range of elbow and wrist motion and had resumed thoroughly her previous job. The Essex-Lopresti injury results from a complex injury to the forearm axis with resultant longitudinal instability, which can be challenging to treat. There are some variations that can lead to a missed diagnosis resulting in persistent pain and instability of the wrist. The best outcomes are reached with early diagnosis and prompt management.
Literatur
1.
3.
Zurück zum Zitat Wegmann K, Engel K, Burkhart KJ, Ebinger M, Holz R, Brüggemann G-P, et al. Sequence of the Essex-Lopresti lesion—a high-speed video documentation and kinematic analysis. Acta Orthop. 2014;85(2):177–80.CrossRefPubMedPubMedCentral Wegmann K, Engel K, Burkhart KJ, Ebinger M, Holz R, Brüggemann G-P, et al. Sequence of the Essex-Lopresti lesion—a high-speed video documentation and kinematic analysis. Acta Orthop. 2014;85(2):177–80.CrossRefPubMedPubMedCentral
4.
Zurück zum Zitat Bock G, Cohen M, Resnick D. Fracture-dislocation of the elbow with inferior radioulnar dislocation: a variant of the Essex-Lopresti injury. Skelet Radiol. 1992;21(5):315–7.CrossRef Bock G, Cohen M, Resnick D. Fracture-dislocation of the elbow with inferior radioulnar dislocation: a variant of the Essex-Lopresti injury. Skelet Radiol. 1992;21(5):315–7.CrossRef
5.
Zurück zum Zitat Pérez BR, García AM, Henríquez JM, Moreno GM. Luxación bilateral de codo asociada a lesión de Essex-Lopresti. Rev Esp Cir Ortop Traumatol. 2012;56(1):59–62. Pérez BR, García AM, Henríquez JM, Moreno GM. Luxación bilateral de codo asociada a lesión de Essex-Lopresti. Rev Esp Cir Ortop Traumatol. 2012;56(1):59–62.
6.
Zurück zum Zitat Hii J, Page M, Prosser A, Bauer S. An uncommon Essex-Lopresti fracture dislocation with radial displacement in distal direction: diagnosis and surgical treatment of a rare case. BMJ. 2013;2013:bcr2013200295. Hii J, Page M, Prosser A, Bauer S. An uncommon Essex-Lopresti fracture dislocation with radial displacement in distal direction: diagnosis and surgical treatment of a rare case. BMJ. 2013;2013:bcr2013200295.
7.
Zurück zum Zitat Eglseder WA, Hay M. Combined Essex-Lopresti and radial shaft fractures: case report. J Trauma. 1993;34(2):310–2.CrossRefPubMed Eglseder WA, Hay M. Combined Essex-Lopresti and radial shaft fractures: case report. J Trauma. 1993;34(2):310–2.CrossRefPubMed
9.
Zurück zum Zitat Schnetzke M, Porschke F, Hoppe K, Studier-Fischer S, Gruetzner P-A, Guehring T. Outcome of early and late diagnosed Essex-Lopresti injury. J Bone Joint Surg. 2017;99(12):1043–50.CrossRefPubMed Schnetzke M, Porschke F, Hoppe K, Studier-Fischer S, Gruetzner P-A, Guehring T. Outcome of early and late diagnosed Essex-Lopresti injury. J Bone Joint Surg. 2017;99(12):1043–50.CrossRefPubMed
10.
Zurück zum Zitat Duckworth AD, Watson BS, Will EM, Petrisor BA, Walmsley PJ, Court-Brown CM, et al. Radial shortening following a fracture of the proximal radius: degree of shortening and short-term outcome in 22 proximal radial fractures. Acta Orthop. 2011;82(3):356–9.CrossRefPubMedPubMedCentral Duckworth AD, Watson BS, Will EM, Petrisor BA, Walmsley PJ, Court-Brown CM, et al. Radial shortening following a fracture of the proximal radius: degree of shortening and short-term outcome in 22 proximal radial fractures. Acta Orthop. 2011;82(3):356–9.CrossRefPubMedPubMedCentral
11.
Zurück zum Zitat McGinley JC, Gold G, Cheung E, Yao J. MRI detection of forearm soft tissue injuries with radial head fractures. Hand. 2014;9(1):87–92.CrossRefPubMed McGinley JC, Gold G, Cheung E, Yao J. MRI detection of forearm soft tissue injuries with radial head fractures. Hand. 2014;9(1):87–92.CrossRefPubMed
12.
Zurück zum Zitat Adams JE, Culp RW, Osterman AL. Central band interosseous membrane reconstruction for forearm longitudinal instability. J Wrist Surg. 2016;5(03):184–7.CrossRefPubMedPubMedCentral Adams JE, Culp RW, Osterman AL. Central band interosseous membrane reconstruction for forearm longitudinal instability. J Wrist Surg. 2016;5(03):184–7.CrossRefPubMedPubMedCentral
13.
Zurück zum Zitat Adams JE. Forearm instability: anatomy, biomechanics, and treatment options. J Hand Surg. 2017;42(1):47–52.CrossRef Adams JE. Forearm instability: anatomy, biomechanics, and treatment options. J Hand Surg. 2017;42(1):47–52.CrossRef
14.
Zurück zum Zitat Gupta V, Kundu ZS, Kamboj P, Gawande J, Kaur M. Ipsilateral dislocation of the radial head associated with fracture of distal end of the radius: a case report and review of the literature. Chin J Traumatol. 2013;16(3):182–5.PubMed Gupta V, Kundu ZS, Kamboj P, Gawande J, Kaur M. Ipsilateral dislocation of the radial head associated with fracture of distal end of the radius: a case report and review of the literature. Chin J Traumatol. 2013;16(3):182–5.PubMed
15.
Zurück zum Zitat McGlinn EP, Sebastin SJ, Chung KC. A historical perspective on the Essex-Lopresti injury. J Hand Surg. 2013;38(8):1599–606.CrossRef McGlinn EP, Sebastin SJ, Chung KC. A historical perspective on the Essex-Lopresti injury. J Hand Surg. 2013;38(8):1599–606.CrossRef
16.
Zurück zum Zitat Grassmann J, Hakimi M, Gehrmann S, Betsch M, Kröpil P, Wild M, et al. The treatment of the acute Essex-Lopresti injury. Bone Joint J. 2014;96(10):1385–91.CrossRefPubMed Grassmann J, Hakimi M, Gehrmann S, Betsch M, Kröpil P, Wild M, et al. The treatment of the acute Essex-Lopresti injury. Bone Joint J. 2014;96(10):1385–91.CrossRefPubMed
17.
Zurück zum Zitat Adams JE, Culp RW, Osterman AL. Interosseous membrane reconstruction for the Essex-Lopresti injury. J Hand Surg. 2010;35(1):129–36.CrossRef Adams JE, Culp RW, Osterman AL. Interosseous membrane reconstruction for the Essex-Lopresti injury. J Hand Surg. 2010;35(1):129–36.CrossRef
18.
Zurück zum Zitat Gutowski CJ, Darvish K, Ilyas AM, Jones CM. Interosseous ligament and transverse forearm stability: a biomechanical cadaver study. J Hand Surg. 2017;42(2):87–95.CrossRef Gutowski CJ, Darvish K, Ilyas AM, Jones CM. Interosseous ligament and transverse forearm stability: a biomechanical cadaver study. J Hand Surg. 2017;42(2):87–95.CrossRef
19.
Zurück zum Zitat Miller AJ, Naik TU, Seigerman DA, Ilyas AM. Anatomic interosseous membrane reconstruction utilizing the biceps button and screw tenodesis for Essex-Lopresti injuries. Tech Hand Up Extrem Surg. 2016;20(1):6–13.CrossRefPubMed Miller AJ, Naik TU, Seigerman DA, Ilyas AM. Anatomic interosseous membrane reconstruction utilizing the biceps button and screw tenodesis for Essex-Lopresti injuries. Tech Hand Up Extrem Surg. 2016;20(1):6–13.CrossRefPubMed
20.
Zurück zum Zitat Hackl M, Andermahr J, Staat M, Bremer I, Borggrefe J, Prescher A, et al. Suture button reconstruction of the central band of the interosseous membrane in Essex-Lopresti lesions: a comparative biomechanical investigation. J Hand Surg Eur Vol. 2017;42(4):370–6.CrossRefPubMed Hackl M, Andermahr J, Staat M, Bremer I, Borggrefe J, Prescher A, et al. Suture button reconstruction of the central band of the interosseous membrane in Essex-Lopresti lesions: a comparative biomechanical investigation. J Hand Surg Eur Vol. 2017;42(4):370–6.CrossRefPubMed
Metadaten
Titel
An uncommon variant of the Essex-Lopresti injury
verfasst von
Mohamed Ali Kedous
Ahmed Msakni
Wael Chebbi
Mourad Zaraa
Mondher Mbarek
Publikationsdatum
01.03.2018
Verlag
Springer Berlin Heidelberg
Erschienen in
Skeletal Radiology / Ausgabe 3/2018
Print ISSN: 0364-2348
Elektronische ISSN: 1432-2161
DOI
https://doi.org/10.1007/s00256-017-2782-7

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