Atypical Essex-Lopresti injury of the forearm: a case report.
نویسندگان
چکیده
The Essex-Lopresti injury of the forearm is difficult to diagnose. A missed diagnosis can lead to persistent pain and instability of the wrist. We report a 33-year-old man with a pre-existing cubital varus deformity who sustained an atypical Essex-Lopresti injury after a fall on his elbow. Accurate diagnosis requires understanding of force transmission and anatomy of the radius and ulna, as well as the proximal and distal radioulnar joints as a unit.
منابع مشابه
The Essex-Lopresti lesion
The Essex-Lopresti lesion represents a severe injury of the forearm unit. In the 1940s, it's pathology and consequences have already been mentioned by several authors. Over the course of time, the pathophysiology of the lesion was displayed in more detail. Therefore, an intensive analysis of the involved anatomic structures was done. The interosseous membrane was shown to play a major role in s...
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Almost all reported cases of longitudinal radioulnar dissociation have involved fracture of the radial head, rupture of the interosseous membrane, and disruption of the distal radioulnar joint, although unusual patterns of Essex-Lopresti injury have also been described. To our knowledge, this is the first report of a chronic Essex-Lopresti variant including fracture of the capitellum. A displac...
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Background: Isolated distal radioulnar joint (DRUJ) dislocation is uncommon. It always associated with the radius and ulna fracture (distal radius fracture, Galeazzi, Monteggia fracture or the Essex-Lopresti forearm fracture). Many of DRUJ dislocation associated with distal radius fracture, especially Colles’ fracture. Volar locking plate (VLP) must be used to fix the distal fragments and the c...
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ورودعنوان ژورنال:
- Journal of orthopaedic surgery
دوره 19 3 شماره
صفحات -
تاریخ انتشار 2011