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J Wrist Surg 2022; 11(01): 076-080
DOI: 10.1055/s-0041-1729759
Case Report

Acute Essex-Lopresti Syndrome: About a Case of Brachioradialis Tendon Transfer

Gabriel Charlotte
1   Department of Hand Surgery, Strasbourg University Hospitals, Fédération de Médecine Translationnelle de Strasbourg, Strasbourg, France
,
Sophie Honecker
1   Department of Hand Surgery, Strasbourg University Hospitals, Fédération de Médecine Translationnelle de Strasbourg, Strasbourg, France
,
Fred Xavier
2   Department of Orthopedic Pediatric Surgery, Morvan Hospital, Brest, France
,
Sybille Facca
1   Department of Hand Surgery, Strasbourg University Hospitals, Fédération de Médecine Translationnelle de Strasbourg, Strasbourg, France
3   ICube CNRS UMR7357, Strasbourg University, Strasbourg, France
,
Priscille Lazarus
1   Department of Hand Surgery, Strasbourg University Hospitals, Fédération de Médecine Translationnelle de Strasbourg, Strasbourg, France
,
Philippe Liverneaux
1   Department of Hand Surgery, Strasbourg University Hospitals, Fédération de Médecine Translationnelle de Strasbourg, Strasbourg, France
2   Department of Orthopedic Pediatric Surgery, Morvan Hospital, Brest, France
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Abstract

Background The classic treatment for acute Essex-Lopresti syndrome is closed reduction percutaneous pinning (CRPP) of the distal radioulnar joint (DRUJ). This work aimed to verify whether it was possible to add a transfer of the brachioradialis tendon to the pinning.

Case Description The patient was a 39-year-old right-handed man, climbing instructor, who sustained the Mason II fracture and disjunction of the DRUJ. A transfer of the brachioradialis tendon severed from its muscle attach that was made through a bone tunnel passing through the radius and the neck of the ulna. The clinical and radiological result at the 6-month follow-up was satisfactory.

Literature Review and Clinical Relevance Our results in a single case showed that the brachioradialis tendon transfer was useful in acute Essex-Lopresti syndrome.

Keywords

brachioradialis - distal radioulnar joint - Essex-Lopresti syndrome - Mason's fracture - tendon transfer


Publication History

Received: 25 January 2021

Accepted: 29 March 2021

Article published online:
14 May 2021

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