Table 1: Classification of Essex-Lopresti lesions (ELL)

according to Edwards and Jupiter.

ELL

type

Description

1

Fracture of the radial head with a large displaced fragment and minimal or no comminution amenable to open reduction and internal fixation

2

Comminuted fracture of the radial head that cannot be reconstructed and requires excision of the radial head and prosthetic replacement

3

Chronic cases with irreducible proximal radial migration. Consider performing ulnar shortening osteotomy and an accessory procedure (radial head arthroplasty ± arthroscopic assessment ± IOM reconstruction)