Giannatos Vasileios, Antzoulas Panagiotis, Charalampus Harry, Athanasiou Vasileios, Panagopoulos Andreas, Kokkalis Zinon
Department of Orthopedics, University Hospital of Patras, Patras, GRC.
Cureus. 2022 Dec 1;14(12):e32099. doi: 10.7759/cureus.32099. eCollection 2022 Dec.
A 23-year-old woman suffered a posterior elbow dislocation, distal radius intraarticular fracture, distal radioulnar joint subluxation, and coronoid process fracture, suggesting an Essex-Lopresti injury variant. Closed reduction for the elbow dislocation was performed, and the limb was immobilized at a 90-degree angle with the forearm in a neutral position with a long posterior splint. Three months later complete fracture healing was noted radiologically. One year post-injury full range of motion regarding flexion, pronation, and supination was achieved with only 10 degrees of extension deficit remaining, suggesting a case of Essex-Lopresti injury managed conservatively with excellent results.
一名23岁女性发生了肘关节后脱位、桡骨远端关节内骨折、桡尺远侧关节半脱位和冠状突骨折，提示为埃克塞尔-洛普雷斯蒂损伤变异型。对肘关节脱位进行了闭合复位，并用长后侧夹板将肢体固定于90度角，前臂处于中立位。三个月后，影像学检查显示骨折完全愈合。受伤一年后，实现了屈曲、旋前和旋后的全范围活动，仅残留10度的伸展受限，提示该例埃克塞尔-洛普雷斯蒂损伤采用保守治疗取得了极佳效果。
