{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T14:40:17Z","timestamp":1787755217406,"version":"build-2784847793"},"reference-count":70,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"3","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"abstract":"<jats:p>\n                    <jats:list list-type=\"plain\">\n                      <jats:list-item>\n                        <jats:p>\u00bb An Essex-Lopresti injury (ELI) is classically described as a radial head fracture with a concomitant interosseous ligament complex (IOC) injury. However, multiple injury patterns may be present, and an interosseous membrane (IOM) injury should be evaluated for in any axial load injury through the forearm. ELI may result in longitudinal radioulnar instability (LRUI).<\/jats:p>\n                      <\/jats:list-item>\n                      <jats:list-item>\n                        <jats:p>\u00bb Diagnosis of an IOC injury can be difficult. Evaluation begins with standard wrist and elbow radiographs and is supplemented with radiographs and intraoperative maneuvers to assess for proximal radial migration. Magnetic resonance imaging and ultrasonography may be useful in the acute setting, although indications and the clinical importance of the findings remain unclear.<\/jats:p>\n                      <\/jats:list-item>\n                      <jats:list-item>\n                        <jats:p>\u00bb Surgical management of an acute ELI is focused on restoration of radial length and temporary distal radioulnar joint (DRUJ) stabilization. Radial head excision in the acute setting should be approached with caution because proximal migration may not be present acutely but may develop over time. The indication for acute IOM repair and reconstruction remains unclear.<\/jats:p>\n                      <\/jats:list-item>\n                      <jats:list-item>\n                        <jats:p>\u00bb Surgical management of a chronic ELI is focused on restoration of radial length, wrist leveling, and treatment of degenerative changes (either at the radiocapitellar joint or the DRUJ). Reconstruction of the central band can restore forearm load transfer and produce favorable functional outcomes, but its indications continue to be debated.<\/jats:p>\n                      <\/jats:list-item>\n                    <\/jats:list>\n                  <\/jats:p>","DOI":"10.2106\/jbjs.rvw.21.00212","type":"journal-article","created":{"date-parts":[[2022,3,9]],"date-time":"2022-03-09T14:01:27Z","timestamp":1646834487000},"update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":5,"title":["Essex-Lopresti Lesions and Longitudinal Radioulnar Instability"],"prefix":"10.2106","volume":"10","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6262-3305","authenticated-orcid":false,"given":"Mihir","family":"Sheth","sequence":"first","affiliation":[{"name":"Department of Orthopedic Surgery, Baylor College of Medicine, Houston, Texas"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Scott","family":"Mitchell","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery, Baylor College of Medicine, Houston, Texas"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3946-6732","authenticated-orcid":false,"given":"Bryce","family":"Bell","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery, Texas Children\u2019s Hospital, Houston, Texas"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5249-3124","authenticated-orcid":false,"given":"Chia","family":"Wu","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery, Baylor College of Medicine, Houston, Texas"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2022,3]]},"reference":[{"issue":"2","key":"r1-20240731","doi-asserted-by":"crossref","first-page":"326","DOI":"10.1016\/j.jhsa.2004.05.017","article-title":"Reconstruction of the interosseous membrane of the forearm with a graft substitute: a cadaveric study","volume":"30","author":"Tejwani","year":"2005","journal-title":"J Hand Surg Am"},{"issue":"3","key":"r2-20240731","doi-asserted-by":"crossref","first-page":"415","DOI":"10.1016\/j.jhsa.2008.10.025","article-title":"Interosseous membrane of the forearm: an anatomical study of ligament attachment locations","volume":"34","author":"Noda","year":"2009","journal-title":"J Hand Surg Am"},{"issue":"4","key":"r3-20240731","doi-asserted-by":"crossref","first-page":"369","DOI":"10.1177\/1753193419900490","article-title":"An anatomical and biomechanical assessment of the interosseous membrane of the cadaveric forearm","volume":"45","author":"Bin Abd Razak","year":"2020","journal-title":"J Hand Surg Eur"},{"issue":"2 Pt 1","key":"r4-20240731","doi-asserted-by":"crossref","first-page":"256","DOI":"10.1016\/0363-5023(89)90017-8","article-title":"An anatomic and mechanical study of the interosseous membrane of the forearm: pathomechanics of proximal migration of the radius","volume":"14","author":"Hotchkiss","year":"1989","journal-title":"J Hand Surg Am"},{"issue":"21","key":"r5-20240731","doi-asserted-by":"crossref","first-page":"2022","DOI":"10.2106\/JBJS.J.00411","article-title":"The stabilizing effect of the distal interosseous membrane on the distal radioulnar joint in an ulnar shortening procedure: a biomechanical study","volume":"93","author":"Arimitsu","year":"2011","journal-title":"J Bone Joint Surg Am"},{"issue":"7","key":"r6-20240731","doi-asserted-by":"crossref","first-page":"1264","DOI":"10.1016\/j.jhsa.2014.03.041","article-title":"The impact of coronal alignment on distal radioulnar joint stability following distal radius fracture","volume":"39","author":"Dy","year":"2014","journal-title":"J Hand Surg Am"},{"issue":"11","key":"r7-20240731","doi-asserted-by":"crossref","first-page":"2279","DOI":"10.1016\/j.jhsa.2015.08.019","article-title":"Reconstruction of the Distal Oblique Bundle of the Interosseous Membrane: A Technique to Restore Distal Radioulnar Joint Stability","volume":"40","author":"Riggenbach","year":"2015","journal-title":"J Hand Surg Am"},{"issue":"4","key":"r8-20240731","doi-asserted-by":"crossref","first-page":"426","DOI":"10.1177\/1753193417727138","article-title":"Prevalence of the distal oblique bundle of the interosseous membrane of the forearm: an anatomical study","volume":"43","author":"Hohenberger","year":"2018","journal-title":"J Hand Surg Eur"},{"issue":"6","key":"r9-20240731","doi-asserted-by":"crossref","first-page":"981","DOI":"10.1016\/S0363-5023(97)80036-6","article-title":"The interosseous membrane of the forearm: anatomy and function","volume":"22","author":"Skahen","year":"1997","journal-title":"J Hand Surg Am"},{"issue":"6","key":"r11-20240731","doi-asserted-by":"crossref","first-page":"879","DOI":"10.2106\/00004623-199806000-00012","article-title":"Radioulnar load-sharing in the forearm. 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