title: [Late sequelae and treatment strategies of distal radio-ulnar dissociation after undetected Essex-Lopresti lesion].
abstract: The Essex-Lopresti lesion, a combination of radial head fracture and distal radioulnar dislocation, rarely occurs but nevertheless represents a frequently unknown result after forearm fracture. The responsible physician soon has to initiate surgical treatment to prevent his patient from permanent pain of the wrist. Previously unrecognised distal radioulnar dislocation remains to be an unsolved problem. A generally accepted management concept does not exist. Since rupture of the membrana interossea nearly ever occurs, resection of the radial head is followed by radial shifting and seems to be obsolete under these circumstances. An exemplary case is presented and surgical management in this situation is discussed.
authors.affiliation: Klinik und Poliklinik für Unfall- und Handchirurgie der Westfälischen Wilhelms-Universität Münster.
authors.forename: M
authors.initials: M
authors.lastname: Neuber
authors.forename: A
authors.initials: A
authors.lastname: Joist
authors.forename: U
authors.initials: U
authors.lastname: Joosten
authors.forename: H
authors.initials: H
authors.lastname: Rieger
mesh_terms: D000328:Adult; D003937:Diagnosis, Differential; D004551:Elbow Joint / Q000000981:diagnostic imaging / Q000601:surgery; D005593:Fracture Fixation, Internal; D006801:Humans; D004204:Joint Dislocations / Q000000981:diagnostic imaging / Q000601:surgery*; D008297:Male; D011859:Radiography; D011885:Radius Fractures / Q000000981:diagnostic imaging / Q000601:surgery*; D012086:Reoperation; D014954:Wrist Injuries / Q000000981:diagnostic imaging / Q000601:surgery*; D000092464:Elbow Injuries