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Introduction Essex-Lopresti injury or longitudinal radioulnar dissociation (LRUD) occurs when a high-energy load is axially applied on the forearm, usually as a result from a fall on an outstretched hand. The pattern of the injury consists of
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single anatomical, articulating unit, a traumatic longitudinal instability of this ‘joint’ was first described by Peter Essex-Lopresti in 1951 ( 2 ). It is caused by a usually high-energy, longitudinal compression vector that dissipates through the three
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the growth of ulnar. The enhanced tension then stretches the radial head out of the annular ligament ( 72 ). Other acute and chronic elbow and forearm injury, for example, Essex-Lopresti injury, should also be excluded according to manifestations and
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the medial collateral ligament? What is the best exposure for the more complex cases? What is the role of external fixation, and should it be dynamic or static? What if there is an associated Essex-Lopresti injury? Do I add prophylaxis to prevent
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– 1576 . 32. Lendemans S Taeger G Nast-Kolb D . [Dislocation fractures of the forearm. Galeazzi, Monteggia, and Essex-Lopresti injuries] . Unfallchirurg 2008 ; 111 : 1005 – 1014 . 33. Greiwe RM , ed
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. ( https://doi.org/10.1302/0301-620X.94B4.27842 ) 7 Essex-Lopresti P . Fractures of the radial head with distal radio-ulnar dislocation; report of two cases . Journal of Bone and Joint Surgery 1951 33B 244 – 247 . 8 Johnson JA Beingessner DM
Department of Orthopedic Surgery, St. Antonius Hospital, Utrecht, The Netherlands
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Department of Orthopedic Surgery, Amsterdam UMC, Amsterdam, The Netherlands
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a prolonged period of immobilization before or after surgery or malalignment may both result in elbow stiffness. A history of progressive pain of the wrist may suggest an injury of the interosseous membrane (IOM) (i.e. Essex-Lopresti lesion
