{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,24]],"date-time":"2026-09-24T12:30:14Z","timestamp":1790253014823,"version":"4.1.0"},"reference-count":12,"publisher":"BMJ","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Reports"],"abstract":"<jats:p>Essex-Lopresti injuries are rare and present a clinical challenge. Incomplete diagnosis and treatment can lead to long-term instability, pain and functional impairment. We report on a clinical case of proximal radioulnar joint (PRUJ) and distal radioulnar joint (DRUJ) dislocation with unusual distal radial displacement and associated radial head shear fracture. The case was managed with closed reduction of the PRUJ and DRUJ followed by open reduction and fixation of the radial head. A high index of suspicion with thorough examination of the elbow, forearm and wrist and comprehensive imaging was important in reaching a complete diagnosis for appropriate treatment. Anatomical reduction of the PRUJ and DRUJ is essential to achieve optimal functional outcomes. Six months following the injury the patient made a satisfactory recovery with full range of movement; however, she continued to have mild to moderate general and moderate work-related disability.<\/jats:p>","DOI":"10.1136\/bcr-2013-200295","type":"journal-article","created":{"date-parts":[[2013,11,27]],"date-time":"2013-11-27T06:58:46Z","timestamp":1385535526000},"page":"bcr2013200295","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":6,"title":["An uncommon Essex-Lopresti fracture dislocation with radial displacement in distal direction: diagnosis and surgical treatment of a rare case"],"prefix":"10.1136","volume":"2013","author":[{"given":"J W S","family":"Hii","sequence":"first","affiliation":[{"name":"Department of Orthopaedics and Trauma Surgery, Royal Perth Hospital, Perth, Western Australia, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"M M","family":"Page","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics and Trauma Surgery, Royal Perth Hospital, Perth, Western Australia, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"A","family":"Prosser","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics and Trauma Surgery, Royal Perth Hospital, Perth, Western Australia, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"S","family":"Bauer","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics and Trauma Surgery, Royal Perth Hospital, Perth, Western Australia, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2013,11,27]]},"reference":[{"key":"2025082723041853000_2013.nov27_1.bcr2013200295.1","doi-asserted-by":"crossref","first-page":"130","DOI":"10.1097\/00005131-200202000-00011","article-title":"Ipsilateral combination Monteggia and Galeazzi injuries in an adult patient: a case report","volume":"2013","author":"Clare","year":"2002","journal-title":"J Orthop Trauma"},{"key":"2025082723041853000_2013.nov27_1.bcr2013200295.2","doi-asserted-by":"crossref","first-page":"1629","DOI":"10.1302\/0301-620X.88B12.17780","article-title":"The undiagnosed Essex-Lopresti injury","volume":"2013","author":"Jungbluth","year":"2006","journal-title":"J Bone Joint Surg Br"},{"key":"2025082723041853000_2013.nov27_1.bcr2013200295.3","doi-asserted-by":"crossref","first-page":"23","DOI":"10.1191\/1460408604ta297oa","article-title":"Galeazzi fractures in adults","volume":"2013","author":"Ramisetty","year":"2004","journal-title":"Trauma"},{"key":"2025082723041853000_2013.nov27_1.bcr2013200295.4","doi-asserted-by":"crossref","first-page":"13","DOI":"10.1191\/1460408604ta293oa","article-title":"Monteggia fractures in adults","volume":"2013","author":"Ramisetty","year":"2004","journal-title":"Trauma"},{"key":"2025082723041853000_2013.nov27_1.bcr2013200295.5","doi-asserted-by":"crossref","first-page":"950","DOI":"10.2106\/JBJS.H.00269","article-title":"Monteggia fracture-dislocation associated with proximal and distal radioulnar joint instability","volume":"2013","author":"Cheung","year":"2009","journal-title":"J Bone Joint Surg Am"},{"key":"2025082723041853000_2013.nov27_1.bcr2013200295.6","doi-asserted-by":"crossref","first-page":"41","DOI":"10.1142\/S0218810410004497","article-title":"Usual pattern of Essex-Lopresti injury with negative plain radiographs of the wrist: a case report and literature review","volume":"2013","author":"Rodriguez-Martin","year":"2010","journal-title":"Hand Surg"},{"key":"2025082723041853000_2013.nov27_1.bcr2013200295.7","first-page":"324","article-title":"Distal radioulnar joint dislocation in association with elbow injuries","volume":"2013","author":"Malik","year":"2004","journal-title":"Injury"},{"key":"2025082723041853000_2013.nov27_1.bcr2013200295.8","doi-asserted-by":"crossref","first-page":"61","DOI":"10.1097\/00003086-198809000-00013","article-title":"Radial head fractures with acute distal radioulnar dislocation. Essex-Lopresti revisited","volume":"2013","author":"Edwards","year":"1988","journal-title":"Clin Orthop Relat Res"},{"key":"2025082723041853000_2013.nov27_1.bcr2013200295.9","doi-asserted-by":"crossref","first-page":"373","DOI":"10.1177\/230949901101900324","article-title":"Atypical Essex-Lopresti injury of the forearm: a case report","volume":"2013","author":"Hey","year":"2011","journal-title":"J Orthop Surg (Hong Kong)"},{"key":"2025082723041853000_2013.nov27_1.bcr2013200295.10","doi-asserted-by":"crossref","first-page":"119","DOI":"10.1111\/j.1758-5740.2011.00172.x","article-title":"Longitudinal instability of the forearm: anatomy, biomechanics, and treatment considerations","volume":"2013","author":"Sabo","year":"2012","journal-title":"Shoulder Elbow"},{"key":"2025082723041853000_2013.nov27_1.bcr2013200295.11","doi-asserted-by":"crossref","first-page":"137","DOI":"10.1197\/j.jht.2006.02.002","article-title":"The forearm complex: anatomy, biomechanics and clinical considerations","volume":"2013","author":"LaStayo","year":"2006","journal-title":"J Hand Ther"},{"issue":"(Suppl 1)","key":"2025082723041853000_2013.nov27_1.bcr2013200295.12","doi-asserted-by":"crossref","first-page":"S25","DOI":"10.1007\/s12306-010-0065-8","article-title":"Management of complex elbow instability","volume":"2013","author":"Giannicola","year":"2010","journal-title":"Musculoskelet Surg"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2013-200295","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,28]],"date-time":"2025-08-28T06:04:27Z","timestamp":1756361067000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2013-200295"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2013,11,27]]},"references-count":12,"alternative-id":["10.1136\/bcr-2013-200295"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2013-200295","relation":{},"ISSN":["1757-790X"],"issn-type":[{"value":"1757-790X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2013,11,27]]}}}