[Wrist pain following radial head fracture caused by a tear in the interosseous membrane (Essex-Lopresti lesion)].
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.
Sloots
C E J
CE
Universitair Medisch Centrum St Radboud, afd. Algemene Heelkunde, Postbus 9101 6500 HB Nijmegen.
Frölke
J P M
JP
D000058:Accidental Falls; D000061:Accidents, Home; D000328:Adult; D018460:Fractures, Comminuted / Q000601:surgery*; D006801:Humans; D004204:Joint Dislocations / Q000601:surgery*; D008297:Male; D011885:Radius Fractures / Q000601:surgery*; D016896:Treatment Outcome; D014457:Ulna / Q000293:injuries* / Q000601:surgery*