Skip to main page content
Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2019 Jun;43(6):1413-1420.
doi: 10.1007/s00264-018-3888-9. Epub 2018 Mar 23.

Chronic Essex-Lopresti Injury: A Systematic Review of Current Treatment Options


Chronic Essex-Lopresti Injury: A Systematic Review of Current Treatment Options

Stefano Artiaco et al. Int Orthop. .


Introduction: Essex-Lopresti lesion (ELL) is a severe injury. Most of ELL is recognized in chronic phase representing a therapeutic challenge for orthopaedic surgeons. The aim of this systematic review is to highlight and criticize current concepts in the surgical treatment.

Materials and methods: The search was conducted according to the Preferred Reporting Items for Systematic reviews and Meta-Analyses (PRISMA) guideline. A comprehensive research of Pubmed database was made using the following Mesh term: ((Essex-Lopresti injury) OR (Essex Lopresti) OR (distal radio ulnar dissociation) OR (distal radio ulnar dislocation) OR (longitudinal forearm instability)). Quality assessment of each article was performed according to Coleman score by two authors.

Results: Eight full articles were included to the systematic review. Surgical treatment was differentiated in five categories according to the most common procedure reported in clinical series. The mean Coleman Score was 51.13 ± 9.76.

Discussion: Case series reported in the literature include a limited number of patients with chronic ELL. Currently, salvage procedure devoted to treat a wrong diagnosis and an incorrect treatment is used. Radial head replacement together with ulnar shortening osteotomy and interosseous membrane reconstruction are the most common treatments of choice, but at present, there is not yet a shared scheme of management for patients with chronic ELL.

Conclusions: According to current literature, a case-by-case treatment must always be considered. Further investigations, with higher level of evidence, quality of study design, and number of patients, are needed to better assess clinical results and complication of each technique.

Level of evidence: IV.

Keywords: Interosseous membrane injury; Longitudinal forearm instability; Radial head fractures; TFCC injury.

Similar articles

See all similar articles


    1. J Bone Joint Surg Br. 2011 Oct;93(10):1389-94 - PubMed
    1. Br J Surg. 1946 Jul;34:74-7 - PubMed
    1. Z Orthop Ihre Grenzgeb. 2004 Mar-Apr;142(2):235-40 - PubMed
    1. J Wrist Surg. 2016 Aug;5(3):172-8 - PubMed
    1. J Shoulder Elbow Surg. 2014 Jun;23(6):861-6 - PubMed

LinkOut - more resources