Essex-Lopresti fracture: Difference between revisions
| Line 11: | Line 11: | ||
==Evaluation== | ==Evaluation== | ||
*PA and lateral radiographs of the forearm may only show a [[Radial head fracture]] | *PA and lateral radiographs of the forearm may only show a [[Radial head fracture]] | ||
*Palpate along interosseous membrane to eval for tenderness | |||
*Radial pull test: > 3mm displacement dorsal/volar is consistent with Essex-Lopresti | |||
*May require CT to evaluate subtle fractures | |||
==Management== | ==Management== | ||
*Orthopedic referral | *Orthopedic referral | ||
Revision as of 06:32, 1 October 2017
Background
- Triad of Radial head fracture, disruption of interosseous membrane, and Distal radioulnar joint disruption
Clinical Features
- Unstable and painful forearm
- Axial force from wrist to elbow after fall on outstretched hand
- Grip weakness and difficulty pronating wrist
Differential Diagnosis
Elbow Diagnoses
Radiograph-Positive
- Distal humerus fracture
- Radial head fracture
- Capitellum fracture
- Olecranon fracture
- Elbow dislocation
Radiograph-Negative
- Biceps tendon rupture/dislocation
- Lateral epicondylitis
- Medial epicondylitis
- Olecranon bursitis (nonseptic)
- Pronator teres syndrome
- Septic bursitis
Pediatric
- Nursemaid's elbow
- Supracondylar fracture
- Lateral epicondyle fracture
- Medial epicondyle fracture
- Olecranon fracture
- Radial head fracture
- Salter-Harris fractures
Evaluation
- PA and lateral radiographs of the forearm may only show a Radial head fracture
- Palpate along interosseous membrane to eval for tenderness
- Radial pull test: > 3mm displacement dorsal/volar is consistent with Essex-Lopresti
- May require CT to evaluate subtle fractures
Management
- Orthopedic referral
Disposition
See Also
External Links
References
- Williams D. Wrist and forearm. In: Rosen's Emergency Medicine: Concepts and Clinical Practice. 8th ed. Philadelphia, PA: Elsevier; 2014.