Essex-Lopresti fracture-disclocation

Case contributed by Craig Hacking
Diagnosis certain

Presentation

Fall on left arm. Forearm pain.

Patient Data

Age: 25 years
Gender: Female

The lateral projection demonstrates dorsal subluxation of the distal ulna at the distal radioulnar joint (DRUJ). The elbow joint is normally aligned although there is a subtle mildly impacted fracture of the radial neck. No ulnar fracture is evident. This pattern of injury is consistent with Essex-Lopresti fracture-dislocation.

Case Discussion

The Essex-Lopresti fracture-dislocation is a fracture of the radial head or neck with transmission of the force along the interosseous membrane to disrupt the DRUJ.

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