title: The sequelae of a missed Essex-Lopresti lesion.
abstract: Radial head fractures are the most common type of elbow fracture in adults. Unrecognised disruption of the intraosseous membrane at the time of injury can lead to severe wrist pain from proximal radial migration especially if the radial head is excised. In this case, despite anatomical reduction and internal fixation of the radial head fracture, longitudinal forearm instability developed after delayed radial head resection was performed 7 months post-injury. A Suave-Kapandji procedure was performed due to ongoing wrist pain. Because of the previous radial head resection, this led to a floating forearm that could only be solved by creating a one-bone forearm, sacrificing all forearm rotation to achieve a stable lever arm between the elbow and wrist joint.
authors: Robert Jones and Agnes Hunt Orthopaedic Hospital NHS Foundation Trust, Oswestry, Shropshire, SY10 7AG, UK.
authors: K
authors: K
authors: Thomason
authors: K J
authors: KJ
authors: Burkhart
authors: K
authors: K
authors: Wegmann
authors: L P
authors: LP
authors: Müller
references: J Hand Surg Am. 2010 Jun;35(6):976-80
references: 20452146
references: J Bone Joint Surg Am. 1992 Dec;74(10):1486-97
references: 1469008
references: J Hand Surg Am. 1998 Nov;23(6):1091-6
references: 9848564
references: J Hand Surg Am. 2005 Mar;30(2):326-34
references: 15781356
references: J Hand Surg Am. 2008 Jan;33(1):124-30
references: 18261676
references: J Hand Surg Am. 1997 Nov;22(6):986-94
references: 9471065
references: J Hand Surg Am. 2003 Jan;28(1):111-6
references: 12563646
references: J Hand Surg Am. 1995 Jul;20(4):609-18
references: 7594288
references: J Bone Joint Surg Br. 1951 May;33B(2):244-7
references: 14832324
references: J Trauma. 2009 Feb;66(2):457-61
references: 19204521
references: Hand Clin. 2007 May;23(2):195-208, vi
references: 17548011
references: Surg Radiol Anat. 2006 Jun;28(3):300-7
references: 16474924
references: J Hand Surg Am. 1997 Mar;22(2):269-78
references: 9195426
references: J Hand Surg Br. 2003 Jun;28(3):267-70
references: 12809663