The sequelae of a missed Essex-Lopresti lesion

JOURNAL TITLE: Strategies in Trauma and Limb Reconstruction

Author
1. K. Thomason
2. K. Wegmann
3. L. P. Müller
4. K. J. Burkhart
ISSN
1828-8936
DOI
10.1007/s11751-013-0153-z
Volume
8
Issue
1
Publishing Year
2013
Pages
5
Author Affiliations
    1. Robert Jones and Agnes Hunt Orthopaedic Hospital NHS Foundation Trust, Oswestry, Shropshire SY10 7AG, UK
    1. Department for Orthopaedic and Trauma Surgery, University Hospitals of Cologne, Cologne, Germany
    1. Klinik und Poliklinik für Orthopädie und Unfallchirurgie, Universitsklinikum Köln, Kerpener Straße 62, 50937 Cologne, Germany
    1. Klinik und Poliklinik für Orthopädie und Unfallchirurgie, Universitsklinikum Köln, Kerpener Straße 62, 50937 Cologne, Germany
  • Article keywords
    Essex-Lopresti, Radial head fracture, Radial head resection, Complication, One bone forearm

    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.

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