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Essex-Lopresti-læsion er hyppigt overset

Rasmus Ahlfors1 & Martina Eriksen2
1) Radiologisk Afdeling, Slagelse Sygehus 2) Onkologisk Afdeling, Rigshospitalet

Ugeskr Læger 2019;181:V04180300

Ugeskr Læger 2019;181:V04180300

Rasmus Ahlfors & Martina Eriksen:

Essex-Lopresti lesion is often undiagnosed

Ugeskr Læger 2019;181:V04180300

In this review, the diagnostics of the Essex-Lopresti lesion is discussed. The lesion is a combination of fracture of the head of radius, rupture of the interosseous mebrane (IOM) and dislocation of the distal radioulnar joint. The lesion is often overlooked in the primary clinical settings, and it is correlated to severe instability, osteoarthritis and pain if untreated. The tools for diagnosing the condition are physical examination of relevant anatomical structures, radiographs of elbow and wrist and ultrasonic evaluation of IOM as well as peroperative tests of stability. The treatment is primarily focused on re-establishing stability of IOM.

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