Analysis of radial head and coronoid process fractures in terrible triad of elbow

2019 ◽  
Vol 29 (4) ◽  
pp. 775-784
Author(s):  
Shaoliang Li ◽  
Xu Li ◽  
Yi Lu
Keyword(s):  
Radial Head ◽  
Coronoid Process ◽  
Terrible Triad

scholarly journals Bilateral Terrible Triad Elbow the rare injury, an Operative challenge: A case report

2021 ◽  
Author(s):  
Dheeraj somanath Attarde ◽  
Atul Patil ◽  
Parag Sancheti ◽  
Ashok Shyam
Keyword(s):  
Radial Head ◽  
Lateral Collateral Ligament ◽  
Lateral Approach ◽  
Coronoid Process ◽  
Terrible Triad ◽  
Collateral Ligament ◽  
Rare Injury ◽  
Complex Injury ◽  
Surgery Patient ◽  
Fall From Height

Abstract Terrible triad of the elbow are a part of rare complex injury around elbow and consists of posterior dislocation combined with the fractures of the radial head and coronoid process of the ulna. Variable outcome has been reported in such injuries, we report a case of a 44-year-old man presenting with bilateral terrible triad of the elbow joints injured due to fall from height. Our surgical procedure included fixation of the radial head through a lateral approach on one side and excision of fractured fragment on another along with lateral collateral ligament (LCL) repair bilaterally, also fixation of the coronoid process and repair of medial collateral ligament (MCL) done on both sides through an anteromedial incision. Bone union was achieved 3 months after surgery. Patient resumed his routine activities at end of 5 months with good functional outcome.

scholarly journals OUR EXPERINCE OF A CASE OF TERRIBLE TRIAD OF ELBOW

2014 ◽  
Vol 04 (03) ◽  
pp. 127-130
Author(s):  
Siddharth M. Shetty ◽  
Vikram Shetty ◽  
Arjun Ballal ◽  
Anoop Hegde
Keyword(s):  
Radial Head ◽  
Operative Procedure ◽  
Full Range ◽  
Surgical Techniques ◽  
Joint Stiffness ◽  
Coronoid Process ◽  
Dominant Hand ◽  
Terrible Triad ◽  
Treatment Protocols ◽  
Post Surgery

AbstractDislocation of the elbow joint in association with fracture of radial head and fracture of coronoid process, is referred to as “terrible triad” of the elbow, the treatment of which provides a challenge to treating surgeon due to its complicated outcomes. The understanding of the elbow kinematics, the usage of various implants and surgical techniques in the recent years has led to the development of standard treatment protocols. The 'terrible triad' of the elbow is a severe injury that is difficult to treat and has a poor prognosis in the medium-tolong term. It is characterised most often by instability of the elbow, development of arthrosis and joint stiffness.A 43 year old lady presented to us after a fall on outstretched dominant hand with severe pain and swelling around elbow. She had sustained a fracture of the radial neck and coronoid process with posterolateral dislocation of elbow. Immediate Closed reduction of the dislocation was performed under GA and elbow was immobilised in a plaster of paris slab for 3 weeks. She underwent operative procedure of open reduction and internal fixation of the radial head with a titanium plate and the coronoid process with a 4mm screw and washer after 10 days.After 3 weeks elbow rehabilitation was begun and at one year post surgery there was signs of fracture healing with full range of motion of the elbow.

Fractures of the Olecranon, Radial Head/Neck, and Coronoid Process

2014 ◽  
pp. 1451-1478
Author(s):  
Peter Kloen ◽  
Thomas Christian Koslowsky ◽  
Konrad Mader
Keyword(s):  
Radial Head ◽  
Coronoid Process ◽  
Head Neck

Coronoid Process and Radial Head as Posterolateral Rotatory Stabilizers of the Elbow

2004 ◽  
Vol 86 (5) ◽  
pp. 975-982 ◽  
Author(s):  
Alberto G. Schneeberger ◽  
Michel M. Sadowski ◽  
Hilaire A.C. Jacob
Keyword(s):  
Radial Head ◽  
Coronoid Process

Elbow Dislocation Combined with Coronoid Process and Radial Head Fracture

2005 ◽  
Vol 18 (4) ◽  
pp. 437
Author(s):  
Sung Tae Lee ◽  
Jin Hyung Choi ◽  
Joong Bae Seo ◽  
Jin Young Park
Keyword(s):  
Radial Head ◽  
Radial Head Fracture ◽  
Elbow Dislocation ◽  
Coronoid Process

scholarly journals Does the Coronoid Always Need to Be Fixed in Terrible Triad Injuries of the Elbow? Mid-Term Postoperative Outcomes Following a Standardized Protocol

2020 ◽  
Vol 9 (11) ◽  
pp. 3500
Author(s):  
Beom-Soo Kim ◽  
Du-Han Kim ◽  
Seok-Ho Byun ◽  
Chul-Hyun Cho
Keyword(s):  
Operative Treatment ◽  
Radial Head ◽  
Lateral Collateral Ligament ◽  
Type I ◽  
Dash Score ◽  
Terrible Triad ◽  
Collateral Ligament ◽  
Recurrent Instability ◽  
Standardized Protocol ◽  
Coronoid Fractures

The purpose of this study was to investigate mid-term outcomes and complications after operative treatment according to a standardized protocol for terrible triad injuries. Twenty-four patients that were treated by a single surgeon with a standardized surgical protocol were retrospectively reviewed. After the complete reconstruction of radial head and/or lateral collateral ligament (LCL) complex through a lateral approach, coronoid process, and/or medial collateral ligament (MCL) complex through a medial approach were fixed if the elbow is unstable. For coronoid fractures, only type III were fixed in four cases (16.7%). Twenty-two LCL (91.7%) and five MCL (20.8%) complexes were repaired. At the final follow-up, the mean MEPS and Quick-DASH score were 91.5 and 17.3, respectively. There was no recurrent instability after operation in all cases. This study revealed that operative treatment that was based on our standardized protocol for terrible triad injuries yielded satisfactory mid-term clinical and radiographic outcomes without any recurrent instability. These results suggest that Type I and II coronoid fractures in terrible triad injuries do not need to be fixed if the radial head and ligamentous complex are completely reconstructed.

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