Galeazzi and Essex-Lopresti are both types of fractures that involve the radius bone in the forearm, but they have distinct differences in terms of mechanism of injury and treatment.
A Galeazzi fracture is characterized by a fracture of the radius bone at the distal end near the wrist joint, often accompanied by dislocation of the distal radioulnar joint. This type of fracture typically occurs due to a fall onto an outstretched hand or direct trauma to the wrist. Treatment for Galeazzi fractures usually involves surgical intervention to realign the fractured bone and stabilize the joint.
On the other hand, an Essex-Lopresti fracture is a rare and more complex injury that involves a longitudinal fracture of the radial head, along with disruption of the distal radioulnar joint and interosseous membrane. This type of fracture is commonly caused by high-energy trauma, such as a car accident or a fall from a significant height. Treatment for Essex-Lopresti fractures often requires open reduction and internal fixation of the radial head, as well as repair of the distal radioulnar joint.
In conclusion, while both Galeazzi and Essex-Lopresti fractures involve the radius bone in the forearm, they differ in terms of the specific structures affected and the mechanisms of injury. Understanding these differences is crucial in determining the appropriate treatment approach for each type of fracture.
What is the outcome of early and late diagnosed Essex-Lopresti injury?
Acute Essex-Lopresti injury is a rare and disabling condition of longitudinal instability of the forearm. When early diagnosed, patients report better outcomes with higher functional recovery.
What is Essex-Lopresti lesion of the elbow?
The Essex-Lopresti injury (ELI) involves fracture of the radial head, disruption of the forearm interosseous membrane (IOM), and dislocation of the distal radioulnar jointdistal radioulnar jointThe DRUJ is an incongruent diarthrodial, synovial articulation between the distal radius and ulna ( Fig. 1 ). It provides a pivot for pronation–supination of the distal forearm.https://www.ncbi.nlm.nih.gov › pmc › articles › PMC8440053Distal Radioulnar Joint Instability and Associated Injuries – NCBI (DRUJ). In 1931, Brockman recognized axial instability of the forearm in two cases following radial head resection.
What is another name for Galeazzi’s fracture?
Such fractures have since become synonymous with his name. In 1941, Campbell termed the Galeazzi fracture the “fracture of necessity,” because it necessitates surgical treatment; in adults, nonsurgical treatment of the injury results in persistent or recurrent dislocations of the distal ulna.
How do you treat Essex-Lopresti?
When Essex-Lopresti lesion is diagnosed, surgical treatment should start from proximal to distal. First, the proximal radioulnar and radiohumeral joint should be restored, either with radial head prosthesis, or (in the case of capitulum damage) with radial elbow emiarthroplasty.
