Essex-Lopresti fracture-disclocation

Case contributed by Assoc Prof Craig Hacking

Presentation

Sports injury. Elbow and wrist pain.

Patient Data

Age: 20 years
Gender: Male

Transverse undisplaced fracture through the radial neck. No visible elbow joint effusion.

Mild dorsal subluxation of the distal ulna relative to the radius. Well corticated bony fragment at the ulnar styloid tip suggestive of a previous injury.

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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