History: 53 year-old male presented to the hospital after falling from a roof.  He had a severe injury to his right elbow and pain at his wrist. X-rays showed an intra-articular radial head fracture as well as a dislocation of the distal radioulnar joint at the wrist, also known as an Essex-Lopresti injury.  I recommended surgical fixation. 

Diagnosis: Right radial head fracture with DRUJ dislocation (Essex Lopresti)

Treatment: Right radial head ORIF with DRUJ pinning

Outcome: After a few months the pins were removed from his wrist and he regained full motion.  By 5 months he was swinging an axe again and had returned to full work without any restrictions.