Sloots C E J, Frölke J P M
Universitair Medisch Centrum St Radboud, afd. Algemene Heelkunde, Postbus 9101 6500 HB Nijmegen.
Ned Tijdschr Geneeskd. 2007 Jan 27;151(4):248-52.
A 44-year-old multiple injured patient presented with several fractures including a dislocated, comminuted radial head fracture after a 4 meter fall from a ladder. He was treated with radial head resection. However, at routine follow-up he indicated pain and loss of function of his wrist due to a distal radio-ulnar dislocation with a high position of the ulna, causing loss of pronation and supination. This is also known as the Essex-Lopresti lesion. Operative treatment included reduction and fixation of the distal radio-ulnar joint after resection osteotomy of the distal ulnar shaft according to Sauvé and Kapandji.
