Terrible triad of elbow: a case managed with radial head prosthesis
DOI:
https://doi.org/10.18203/issn.2455-4510.IntJResOrthop20241720Keywords:
Terrible triad of elbow, Radial head replacement, Fracture of radial headAbstract
The terrible triad of elbow consists of radial head fracture, coronoid process of ulna fracture, and posterior or posterolateral humero-ulnar joint dislocation. Favorable outcomes are expected in cases with early surgical intervention. Here we present a 48-year-old male patient with terrible triad of elbow injury following road traffic accident who underwent radial head replacement with temporary ulno-humeral transfixing K-wire. We came to a conclusion that planned and staged anatomical restoration of ligamentous and bony structures of the elbow with combative rehabilitation will give the best possible outcome.
Metrics
References
Jupiter JB, King GJW, Hotchkiss RN, Morrey BF. The unstable elbow. J Bone Joint Surg Am. 2000;82:724-38.
O'Driscoll SW, Morrey BF, Korinek S, Kai-Nan AD. Elbow subluxation and dislocation. A spectrum of instability. Clin Orthop. 1992;280:186-97.
Shetty SM, Shetty V, Ballal A, Hegde A. Our experince of a case of terrible triad of elbow. J Health Allied Sci. 2014;4(03):127-30.
Hotchkiss RN. Fractures and dislocation soft elbow. In: Rockwood CA, Green DP, Bucholz RW, Heckman JD, eds. Rockwood and Green’s fractures in adults. 4th ed. Philadelphia: Lippincott-Raven; 1996: 929-1024.
Bousselmame N, Boussouga M, Bouabid S, Galuia F, Taobane H, Moulay Fractures of the coronoid process. Chir Main. 2000;19(5):286-93.
O'Driscoll SW, Jupiter JB, King GJ, Hotchkiss RN, Morrey BF. The unstable elbow. Instr Course Lect. 2001;50:89-102.
Ring D, Jupiter JB, Zilberfarb J. Posterior dislocation of the elbow with fractures of the radial head and coronoid. J Bone Joint Surg Am. 2002;84:547-51.
Seijas R, Ares-Rodriguez O, Orellana A, Albareda D, Collado D, Llusa M. Terrible triad of the elbow. J Orthop Surg (Hong Kong). 2009;17(3):335-9.
Chemama B, Bonnevialle N, Peter O, Mansat P, Bonnevialle P. Terrible triad injury of the elbow: how to improve outcomes?. Orthop Traumatol Surg Res. 2010;96(2):147-54.
Said E, Attyia HA, Soliman MA, Mosallam KH. Results of Radial Head Prosthetic Replacement in Management of Radial Head Fracture in Terrible Triad Injury of the Elbow. SVU Int J Med Sci. 2023;6(2):652-64.