0000010486 00000 n Wrist reconstruction including fusion. 0000003077 00000 n Radiographic Predictors of Medial Collateral Ligament Injury and Stability of the Elbow. Some circumstantial evidence supports this concept. Epidemiology. If left untreated, they commonly result in functional compromise and poor outcomes. Fracture-dislocations of the elbow remain among the most difficult injuries to manage. J Am Acad Orthop Surg. 0000010818 00000 n Documentation of associated injuries occurring with radial head fracture. protocols. Elbow dislocation with intra-articular fracture: the results of operative treatment without repair of the medial collateral ligament. Int Orthop. 100 0 obj <> endobj Pathology Get the latest public health information from CDC: https://www.coronavirus.gov, Get the latest research information from NIH: https://www.nih.gov/coronavirus, Find NCBI SARS-CoV-2 literature, sequence, and clinical content: https://www.ncbi.nlm.nih.gov/sars-cov-2/. When nonsurgical treatment is to be undertaken, several specific criteria must be met. <]/Prev 879955>> concepts. 19. xref The terrible triad of the elbow is a severe elbow fracture-dislocation pattern and is so-called because it has poor medium-to-long term outcome.. T HE TERRIBLE TRIAD OF THE ELBOW is posterior or posterolateral dislocation of the ulnohumeral joint with fractures of the radial head and coronoid process. The terrible triad injury of the elbow, dislocation of the ulnohumeral joint with fractures of the coronoid process and radial head, is difficult to treat and has a historically poor outcome. Arthritis reconstruction of the thumb and fingers. 2008 Dec;39(12):132937. Mathew PK, Athwal GS, King GJ. Mirouse G, Corcos P, Casabianca L, Guillon P. Chir Main. A terrible triad combines three injuries: dislocation of the elbow, fracture of the radial head, and fracture of the coronoid. J Hand Surg Am. Biomechanical study of the elbow following excision of the radial head. 0000010098 00000 n 1 Introduction. The "terrible triad" injury is classically described as a combination of a coronoid process and radial head fractures, as well as a … Repair of tendon, artery and skeletal injuries. Mathew PK, Athwal GS, King GJ (2009) Terrible triad injury of the elbow: current concepts. HHS 0000048894 00000 n  |  0000015536 00000 n 20. 0000006693 00000 n COVID-19 is an emerging, rapidly evolving situation. 0000020945 00000 n  |  Terrible triad injury of the elbow: how to improve outcomes? View Article Google Scholar 3. 0000001750 00000 n Outcomes after terrible triads of the elbow treated with the current surgical . Indian J Orthop. An elbow dislocation associated with a radial head and coronoid fractures is termed a terrible triad. 0000049289 00000 n PubMed PMID: 20449590; PubMed Central PMCID: PMC3103950. [Posteromedial dislocation of the elbow with lateral condyle and coronoid process fractures: a case report]. 2: Mathew PK, Athwal GS, King GJ. Bohn K, Ipaktchi K, Livermore M, Cao J, Banegas R. Current treatment concepts for “terrible triad” injuries of the elbow. Orthopaedic & Sports Medicine Grand Rounds - February 3, 2016 - Terrible Triad Injuries and the Complex Elbow: Current Concepts Presented by: Daphne M. Beingessner, MSc, MD, FRCSC Associate Professor of Traumatology Harborview Medical Center Dept. 2019 Oct;22(5):255-260. doi: 10.1016/j.cjtee.2019.05.005. Clin Orthop Relat Res. JB JS Open Access. 2014;37(12):831-837. van Riet RP, Morrey BF. Recent literature has improved our understanding of elbow anatomy and biomechanics along with the pathoanatomy of this injury, thereby allowing the development of a systematic approach for treatment and rehabilitation. A terrible triad injury of the elbow consists of an ulnohumeral dislocation with associated fractures of the coronoid and radial head. 2009 Mar. Buttress plate fixation of coronoid process fractures via a medial approach. J Bone Joint Surg Am. 0000004662 00000 n Does the Coronoid Always Need to Be Fixed in Terrible Triad Injuries of the Elbow? 2011 Jun;35(6):851-60. Bohn K, Ipaktchi K, Livermore M, Cao J, Banegas R. Orthopedics. 0000003233 00000 n The primary goal of surgical fixation is to stabilize the elbow to permit early motion. 3), and is often associated with collateral ligaments injuries. 0000033780 00000 n 2014 Jul;472(7):2084-91. doi: 10.1007/s11999-014-3471-7. 0000012843 00000 n Hongwei Chen*and Guolin Wu Department of Orthopedics, Yiwu Central Hospital, Yiwu, Zhejiang Province, PR China *Corresponding Author: 1. Mathew PK, Athwal GS, King GJ. NIH This injury almost always renders the elbow unstable requiring surgical intervention. 0000028049 00000 n The primary goal of surgery is to stabilize the elbow to permit early motion to prevent stiffness. 2020 Oct 29;9(11):3500. doi: 10.3390/jcm9113500. Pipicelli JG, Chinchalkar SJ, Grewal R, Athwal GS. eCollection 2020 Dec. J Clin Med. If left untreated, they commonly result in functional compromise and poor outcomes. Terrible triad injury of the elbow is a complex injury that is classically defined as elbow dislocation along with fractures of the coronoid process of the ulna and the radial head. 0000003713 00000 n Terrible triad injuries of the elbow: does the coronoid always need to be fixed? Fracture dislocation of the elbow, termed terrible triad, involves three anatomic injuries: coronoid fracture, radial head fracture, and posterior elbow dislocation. 2007 Oct. 32 (8):1200-9. 0000049079 00000 n 0000006129 00000 n trailer J Am Acad Orthop Surg 17: 137–151. Morrey BF, Chao EY, Hui FC. 0000049006 00000 n The terrible triad of the elbow is defined as the combination of fractures of the radial head and ulnar coronoid process and dislocation of the elbow joint 4 (Fig. Current treatment concepts for "terrible triad" injuries of the elbow. doi: 10.2106/JBJS.OA.19.00017. Terrible triad injury of the elbow: current concepts. 0000008153 00000 n of Orthopaedics and Sports Medicine University of Washington School of Medicine 0000034939 00000 n J Am Acad Orthop Surg. Current treatment concepts for "terrible triad" injuries of the elbow. USA.gov. 0000003802 00000 n Rehabilitation considerations in the management of terrible triad injury to the elbow. 142 0 obj <>stream 0000009316 00000 n We analyzed prospectively a series of patient affected by TTI and treated according to the current diagnostic and surgical protocols to investigate whether their application allow to obtain more predictable outcomes. 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