The Essex-Lopresti lesion: a variant with a bony distal radioulnar joint injury

J Hand Surg Br. 2006 Apr;31(2):206-7. doi: 10.1016/j.jhsb.2005.10.009. Epub 2005 Dec 6.


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.

Publication types

  • Case Reports

MeSH terms

  • Aged
  • Elbow / diagnostic imaging
  • Elbow / injuries*
  • Fracture Fixation, Internal*
  • Fractures, Comminuted / surgery
  • Humans
  • Joint Dislocations / diagnostic imaging
  • Joint Prosthesis*
  • Male
  • Radiography
  • Radius Fractures / diagnostic imaging
  • Radius Fractures / surgery*
  • Range of Motion, Articular
  • Ulna Fractures / diagnostic imaging
  • Ulna Fractures / surgery*