The sequelae of a missed Essex-Lopresti lesion

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...

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Bibliographic Details
Published in:Strategies in trauma and limb reconstruction 2013-04, Vol.8 (1), p.57-61
Main Authors: Thomason, K., Burkhart, K. J., Wegmann, K., Müller, L. P.
Format: Article
Language:English
Subjects:
Case Report
Medicine
Medicine & Public Health
Orthopedics
Surgical Orthopedics
Traumatic Surgery
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Summary: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.
ISSN:1828-8936
1828-8928
DOI:10.1007/s11751-013-0153-z