Essex-Lopresti syndrome is an uncommon condition which in many occasions it goes unnoticed inacute phase. Its treatment is based on stabilize the head of the radius to prevent its proximal migration but there is no clear protocols on the performance at the distal radio-ulnar joint, the interosseous membrane or the role of the shortening of the ulna. We present a case report of effects at the levels of both forearms, one in acute form, with a treatment with osteosynthesis and another that has been treated with an arthroplasty of the radius head, a shorteningof the ulna and an Adams´ technique for distal stabilization, both with excellent results. In our opinion, the stabilization of the distal radio-ulnar joint should be part of the treatment of Essex-Lopresti syndrome and the Adams´ technique is an alternative in those cases in which the direct reconstruction is not possible.

Essex-Lopresti syndrome is an uncommon condition which in many occasions it goes unnoticed inacute phase. Its treatment is based on stabilize the head of the radius to prevent its proximal migration but there is no clear protocols on the performance at the distal radio-ulnar joint, the interosseous membrane or the role of the shortening of the ulna. We present a case report of effects at the levels of both forearms, one in acute form, with a treatment with osteosynthesis and another that has been treated with an arthroplasty of the radius head, a shorteningof the ulna and an Adams´ technique for distal stabilization, both with excellent results. In our opinion, the stabilization of the distal radio-ulnar joint should be part of the treatment of Essex-Lopresti syndrome and the Adams´ technique is an alternative in those cases in which the direct reconstruction is not possible.