Evidence map›Paper›PMID 40547241›Full record

ReviewWorld journal of orthopedics2025

Progress in diagnosis and treatment of Essex-Lopresti injury in children.

Feng Xiang, Ding-Qi Zhang, Juan Guo, Xing Li, Xi-Ping Zhang, Yan-Jun Li, Jie Wen

Abstract readReview
PubMed Full text at PMC Publisher
In one paragraph

Review in World journal of orthopedics, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Feng XiangDepartment of Traumatic Orthopedics, Zhuzhou Central Hospital, The Affiliated Zhuzhou Hospital of Xiangya Medical College, Central South University, Zhuzhou 412007, Hunan Province, China.
Ding-Qi ZhangDepartment of Traumatic Orthopedics, Zhuzhou Central Hospital, The Affiliated Zhuzhou Hospital of Xiangya Medical College, Central South University, Zhuzhou 412007, Hunan Province, China.
Juan GuoDepartment of Humanities and Journalism, Xiamen University Tan Kah Kee College, Zhangzhou 363123, Fujian Province, China.
Xing LiDepartment of Integrated Chinese and Western Medicine, Zhuzhou Central Hospital, The Affiliated Zhuzhou Hospital of Xiangya Medical College, Central South University, Zhuzhou 412007, Hunan Province, China.
Xi-Ping ZhangDepartment of Traumatic Orthopedics, Zhuzhou Central Hospital, The Affiliated Zhuzhou Hospital of Xiangya Medical College, Central South University, Zhuzhou 412007, Hunan Province, China.
Yan-Jun LiDepartment of Traumatic Orthopedics, Zhuzhou Central Hospital, The Affiliated Zhuzhou Hospital of Xiangya Medical College, Central South University, Zhuzhou 412007, Hunan Province, China.
Jie WenDepartment of Pediatric Orthopedics, Hunan Provincial People's Hospital, The First Affiliated Hospital of Hunan Normal University, Changsha 410013, Hunan Province, China. cashwj@qq.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Essex-Lopresti injury is characterized by a radial head fracture accompanied by dislocation of the distal radioulnar joint and rupture of the interosseous membrane (IOM). This type of injury typically results from high-energy axial forces transmitted through the wrist to the elbow, leading to tears in the IOM, fractures of the radial head, injuries to the distal radioulnar joint, and disruption of the triangular fibrocartilage complex, ultimately causing axial instability of the radioulnar joint. Due to its complexity, this injury is often overlooked in clinical settings, with a reported misdiagnosis rate as high as 60%. In pediatric cases, the misdiagnosis rate is even higher due to children's limited ability to articulate symptoms, the presence of substantial cartilaginous structures that have not fully ossified, and less typical radiographic findings compared to adults. This review aims to provide a comprehensive overview of the injury mechanism, clinical presentation, diagnosis, and treatment of Essex-Lopresti injuries in children, emphasizing the importance for pediatric orthopedists to recognize and manage this condition accurately to prevent misdiagnosis and inappropriate treatment.

Indexed as

Dislocation of the radioulnar jointEssex-Lopresti injuriesFractures of the radial headTears in the interosseous membrane

Identifiers

PMID40547241
PMCPMC12179881

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.