Case Reports   |    
Failure of Fresh-Frozen Radial Head Allografts in the Treatment of Essex-Lopresti InjuryA Report of Four Cases
Ryan Karlstad, MD1; Bernard F. Morrey, MD2; William P. Cooney, MD2
1 1991 Northwestern Avenue South, Stillwater, MN 55082
2 Department of Orthopedic Surgery, Mayo Clinic, 200 First Street S.W., Rochester, MN 55905
View Disclosures and Other Information
The authors did not receive grants or outside funding in support of their research or preparation of this manuscript. They did not receive payments or other benefits or a commitment or agreement to provide such benefits from a commercial entity. No commercial entity paid or directed, or agreed to pay or direct, any benefits to any research fund, foundation, educational institution, or other charitable or nonprofit organization with which the authors are affiliated or associated.
Investigation performed at the Department of Orthopedic Surgery, Mayo Clinic, Rochester, Minnesota

The Journal of Bone and Joint Surgery, Incorporated
J Bone Joint Surg Am, 2005 Aug 01;87(8):1828-1833. doi: 10.2106/JBJS.D.02351
5 Recommendations (Recommend) | 3 Comments | Saved by 3 Users Save Case


Essex-Lopresti described a traumatic radial head fracture with associated disruption of the interosseous membrane and secondary proximal migration of the radius1. The combined long-term effect of this injury on the radiocapitellar and distal radioulnar joints is both pain and loss of mobility2-5.Reconstructive management of these lesions has been very difficult and has yielded variable, mostly unfavorable results2,6. The accepted basis of management consists of reestablishing the longitudinal relationship of the radius to the ulna. This allows anatomic realignment of the proximal radioulnar joint, the distal radioulnar joint, the proximal and distal ligaments, and the interosseous membrane. This can be accomplished by reestablishing the length of the proximally migrated radius, by shortening the ulna, or by a combination of the two.
Figures in this Article

    First Page Preview

    View Large
    First page PDF preview
    Sign In to Your Personal ProfileSign In To Access Full Content
    Not a Subscriber?
    Get online access for 30 days for $35
    New to JBJS?
    Sign up for a full subscription to both the print and online editions
    Register for a FREE limited account to get full access to all CME activities, to comment on public articles, or to sign up for alerts.
    Register for a FREE limited account to get full access to all CME activities
    Have a subscription to the print edition?
    Current subscribers to The Journal of Bone & Joint Surgery in either the print or quarterly DVD formats receive free online access to JBJS.org.
    Forgot your password?
    Enter your username and email address. We'll send you a reminder to the email address on record.

    Forgot your username or need assistance? Please contact customer service at subs@jbjs.org. If your access is provided
    by your institution, please contact you librarian or administrator for username and password information. Institutional
    administrators, to reset your institution's master username or password, please contact subs@jbjs.org


    Accreditation Statement
    These activities have been planned and implemented in accordance with the Essential Areas and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint sponsorship of the American Academy of Orthopaedic Surgeons and The Journal of Bone and Joint Surgery, Inc. The American Academy of Orthopaedic Surgeons is accredited by the ACCME to provide continuing medical education for physicians.
    CME Activities Associated with This Article
    Submit a Comment
    Please read the other comments before you post yours. Contributors must reveal any conflict of interest.
    Comments are moderated and will appear on the site at the discretion of JBJS editorial staff.

    * = Required Field
    (if multiple authors, separate names by comma)
    Example: John Doe

    Related Content
    The Journal of Bone & Joint Surgery
    JBJS Case Connector
    Topic Collections
    Related Audio and Videos
    Clinical Trials
    Readers of This Also Read...
    JBJS Jobs
    OK - The University of Oklahoma
    OH - OhioHealth Research and Innovation Institute (OHRI)
    NY - Modern Chiropractic Care, P.C.
    OK - The University of Oklahoma