Treatment of longitudinal forearm instability: Essex-lopresti injury

Laura E. Stoll, Ryan P. Calfee

Research output: Chapter in Book/Report/Conference proceedingChapterpeer-review


Essex-Lopresti injuries comprise a complex injury to the radial head, interosseous membrane, and distal radial ulnar joint (DRUJ). Recognition of this injury is necessary to prevent long-term morbidity secondary to pain, stiffness, and arthrosis that accompany the chronic longitudinal forearm instability associated with missing this diagnosis. Effective treatment is predicated on restoration of a stable radiocapitellar joint restoring radial length. Direct intervention to stabilize the DRUJ is provided on a case-by-case basis. Reconstruction of the interosseous membrane is described, but the necessity to do so and the long-term outcomes from interosseous membrane reconstructions are not clearly established.

Original languageEnglish
Title of host publicationThe Unstable Elbow
Subtitle of host publicationAn Evidence-Based Approach to Evaluation and Management
PublisherSpringer International Publishing
Number of pages13
ISBN (Electronic)9783319460192
ISBN (Print)9783319460178
StatePublished - Jan 1 2016


  • Essex-Lopresti
  • Interosseous membrane
  • Longitudinal forearm instability
  • TFCC


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