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Resumen Definición La lesión de Essex-Lopresti combina una fractura de la cabeza del radio, la rotura longitudinal de la membrana interósea y de los elementos estabilizadores de la articulación radiocubital distal, y funcionalmente equivale a una inestabilidad
La fractura de Essex Lopresti se refiere a un tipo especial de fractura a nivel del antebrazo, en donde se observa una fractura a nivel de la cabeza del radio con una luxación en la articulación radio-ulnar distal, sumado además a una disrupción en la membrana interósea, lo cual le confiere una gran inestabilidad.
- Epidemiology
- Clinical Presentation
- Classification
- Pathology
- Treatment and Prognosis
- History and Etymology
- See Also
As little as 20% of Essex-Lopresti fracture-dislocations are recognized at the time of initial presentation 6.
The injury occurs due to the compressive force of trauma transmitted down the forearm through the proximal and distal radioulnar joints and the interosseous membrane 3,4. This usually occurs from a fall or high-energy trauma with the elbow extended 4. As a result, there is axial and longitudinal loading that causes pain and instability. The distal ...
The Edwards and Jupiter classification was proposed in 1988 8: 1. type I: large displaced radial head fragments with minimal or no comminution and amenable to ORIF 2. type II: severe comminution requiring radial head excision and prosthetic replacement 3. type III: old injuries with irreducible proximal migration of the radius managed by ulnar shor...
Rupture of the interosseous membrane results in perturbed transmission of force from the radius to the ulna 7. If not recognized acutely, chronic instability and proximal migration of the radius results in ulna abutment with increased force transmission across the ulnocarpal joint 4.
There have been historically poor outcomes in the treatment of longitudinal forearm instability which is particularly complex in the chronic setting 3. The low incidence, late presentations and heterogeneity in study samples presented in the literature preclude researchers reaching safe conclusions and planning of clinical studies 3. A study found ...
It is named afterPeter Gordon Essex-Lopresti (1916-1951), a trauma surgeon at Birmingham Accident Hospital, England 2.
Técnica de Essex-Lopresti. Tomesen et al. publican excelentes resultados en el 55% de pacientes, buenos resultados en el 32% y resultados moderados en el 13% de pacientes tratados percutáneamente mediante la técnica clásica de Essex-Lopresti, aunque modificada al ser fijados con tornillos percutáneos 11 .
- Mario Herrera-Pérez, María José Gutiérrez-Morales, Víctor Valderrabano, Martin Wiewiorski, José Luis...
- 2016
Técnica de Essex-Lopresti. Tornetta publicó excelentes resultados en 55% de los pacientes, buenos resultados en 32% y moderados en 13% de aquellos tratados percutáneamente mediante la técnica clásica de Essex-Lopresti, aunque modificada, al ser fijada con tornillos percutáneos. 8
En 1951, Essex-Lopresti 1 describe la asociación entre las fracturas de la cabeza del radio y la luxación de la articulación RCD con la lesión de la membrana interósea y de los ligamentos de la articulación radiocubital distal.
29 de ago. de 2018 · Acute Essex-Lopresti injury is a rare and disabling condition of longitudinal instability of the forearm. When early diagnosed, patients report better outcomes with higher functional recovery.
