Wrist pain following radial head fracture caused by a tear in the interosseous membrane (Essex-Lopresti lesion)
Sloots, C.E.J.; Frölke, J.P.M.
Nederlands Tijdschrift Voor Geneeskunde 151(4): 248-252
2007
ISSN/ISBN: 0028-2162 PMID: 17323883 Document Number: 608900
A 44-year-old multiple injured patient presented with several fractures including a dislocated, comminuted radial head fracture after a 4 meter fall from a ladder. He was treated with radial head resection. However, at routine follow-up he indicated pain and loss of function of his wrist due to a distal radio-ulnar dislocation with a high position of the ulna, causing loss of pronation and supination. This is also known as the Essex-Lopresti lesion. Operative treatment included reduction and fixation of the distal radio-ulnar joint after resection osteotomy of the distal ulnar shaft according to Sauvé and Kapandji.