The Essex-Lopresti lesion

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The Essex-Lopresti lesion. / Wegmann, K; Dargel, J; Burkhart, K J; Brüggemann, G P; Müller, Lars Peter.

In: Strategies in trauma and limb reconstruction (Online), Vol. 7, No. 3, 01.11.2012, p. 131-119.

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@article{769a08ddf33d46519f3cb7a57e18da29,
title = "The Essex-Lopresti lesion",
abstract = "The Essex-Lopresti lesion represents a severe injury of the forearm unit. In the 1940s, it's pathology and consequences have already been mentioned by several authors. Over the course of time, the pathophysiology of the lesion was displayed in more detail. Therefore, an intensive analysis of the involved anatomic structures was done. The interosseous membrane was shown to play a major role in stabilising the forearm unit, in the situation of a fractured radial head, which is the primary stabiliser of the longitudinal forearm stability. Moreover, biomechanical analyses showed a relevant attribution of the distal radio-ulnar joint to the forearm stability. If, in the case of a full-blown Essex-Lopresti lesion, the radial head, the interosseous membrane and the distal radio-ulnar joint are injured, proximalisation of the radius will take place and will come along with secondary symptoms at the elbow joint and the wrist. According to actual studies, the lesion seems to occur more often than realised up to now. Thus, to avoid missing the complex injury, subtle clinical diagnosis combined with adequate imaging has to be undertaken. If the lesion is confirmed, several operative treatment options are available, yet not proofed to be sufficient.",
author = "K Wegmann and J Dargel and Burkhart, {K J} and Br{\"u}ggemann, {G P} and M{\"u}ller, {Lars Peter}",
year = "2012",
month = nov,
day = "1",
doi = "10.1007/s11751-012-0149-0",
language = "English",
volume = "7",
pages = "131--119",
journal = "Strategies in trauma and limb reconstruction (Online)",
issn = "1828-8936",
publisher = "Springer-Verlag Italia",
number = "3",

}

RIS

TY - JOUR

T1 - The Essex-Lopresti lesion

AU - Wegmann, K

AU - Dargel, J

AU - Burkhart, K J

AU - Brüggemann, G P

AU - Müller, Lars Peter

PY - 2012/11/1

Y1 - 2012/11/1

N2 - The Essex-Lopresti lesion represents a severe injury of the forearm unit. In the 1940s, it's pathology and consequences have already been mentioned by several authors. Over the course of time, the pathophysiology of the lesion was displayed in more detail. Therefore, an intensive analysis of the involved anatomic structures was done. The interosseous membrane was shown to play a major role in stabilising the forearm unit, in the situation of a fractured radial head, which is the primary stabiliser of the longitudinal forearm stability. Moreover, biomechanical analyses showed a relevant attribution of the distal radio-ulnar joint to the forearm stability. If, in the case of a full-blown Essex-Lopresti lesion, the radial head, the interosseous membrane and the distal radio-ulnar joint are injured, proximalisation of the radius will take place and will come along with secondary symptoms at the elbow joint and the wrist. According to actual studies, the lesion seems to occur more often than realised up to now. Thus, to avoid missing the complex injury, subtle clinical diagnosis combined with adequate imaging has to be undertaken. If the lesion is confirmed, several operative treatment options are available, yet not proofed to be sufficient.

AB - The Essex-Lopresti lesion represents a severe injury of the forearm unit. In the 1940s, it's pathology and consequences have already been mentioned by several authors. Over the course of time, the pathophysiology of the lesion was displayed in more detail. Therefore, an intensive analysis of the involved anatomic structures was done. The interosseous membrane was shown to play a major role in stabilising the forearm unit, in the situation of a fractured radial head, which is the primary stabiliser of the longitudinal forearm stability. Moreover, biomechanical analyses showed a relevant attribution of the distal radio-ulnar joint to the forearm stability. If, in the case of a full-blown Essex-Lopresti lesion, the radial head, the interosseous membrane and the distal radio-ulnar joint are injured, proximalisation of the radius will take place and will come along with secondary symptoms at the elbow joint and the wrist. According to actual studies, the lesion seems to occur more often than realised up to now. Thus, to avoid missing the complex injury, subtle clinical diagnosis combined with adequate imaging has to be undertaken. If the lesion is confirmed, several operative treatment options are available, yet not proofed to be sufficient.

U2 - 10.1007/s11751-012-0149-0

DO - 10.1007/s11751-012-0149-0

M3 - Journal articles

C2 - 23096260

VL - 7

SP - 131

EP - 119

JO - Strategies in trauma and limb reconstruction (Online)

JF - Strategies in trauma and limb reconstruction (Online)

SN - 1828-8936

IS - 3

ER -

ID: 27678