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Journal of Hand Surgery (British and European Volume)
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The Essex–Lopresti Lesion: A Variant with a Bony Distal Radioulnar Joint Injury

J. AUYEUNG
G. BROOME

From the Department of Orthopaedics, Cumberland Infirmary, Carlisle, UK

Correspondence: Jeff Auyeung, 8, Whitburn Close, Langley Park, Durham DH7 9UZ, UK. Tel.: +44 1913 733713., E-mail: jeffauyeung{at}hotmail.com

The Essex–Lopresti lesion is an unusual injury, consisting of a radial head or neck fracture, distal radioulnar joint (DRUJ) injury and interosseous membrane rupture. To date, all reported Essex–Lopresti lesions have consisted of soft tissue injuries at the DRUJ. We present a case of an Essex–Lopresti lesion with a bony variant, in which the DRUJ injury consisted of an ulnar head fracture associated with radial head fracture and acute proximal migration of the radius. The management involved plating of the ulnar head fracture and titanium replacement of the radial head.

Key Words: Essex-Lopresti lesion • distal radioulnar joint injury • radial head fracture

Journal of Hand Surgery (British and European Volume), Vol. 31, No. 2, 206-207 (2006)
DOI: 10.1016/J.JHSB.2005.10.009
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