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Minerva Ortopedica e Traumatologica 2016 June;67(2):94-105

Copyright © 2016 EDIZIONI MINERVA MEDICA

lingua: Inglese

Treatment of the Essex-Lopresti lesion with a bone-ligament-bone reconstruction

Tiffany KADOW, Mark BARATZ

University of Pittsburgh Medical Center, Pittsburgh, PA, USA


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The Essex-Lopresti injury is a complex fracture pattern that typically occurs due to high-energy trauma and is often missed in the acute setting. The Essex-Lopresti lesion is the result of an axial load to the forearm resulting in loss of longitudinal stability as a result of a radial head fracture, as well as rupture of the interosseous membrane (IOM) and disruption of the triangular fibrocartilage complex. A careful examination and appropriate imaging allows for prompt treatment and improved outcomes. Treatment for chronic injuries includes IOM reconstruction with or without radial head replacement. Here we discuss the anatomy and biomechanics of Essex-Lopresti injuries, tools for detection, and review of the literature regarding surgical treatment of acute and chronic injuries as well as our preferred techniques for reconstruction.

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